2018 Mission Trips Details World Missions Application Request Form Puerto Rico: Dates: February 10 - 17, 2018 Cost: $1300 - $1500 Peru: Dates: April 9 - 16, 2018 Cost: $1800 - $2200 Romania: Dates: April 16 - 23, 2018 Cost: $2600 Puerto Rico Payment deadlines: November 1, 2017 - $50 November 15, 2017 - $400 December 15, 2017 - $550 January 10, 2018 - Balance Peru Payment deadlines: November 1, 2017 - $50 November 15, 2017 - $400 December 15, 2017 - $450 January 15, 2018 - $400 February 15, 2018 - $400 March 10, 2018 - Balance Romania Payment deadlines: November 1, 2017 - $50 November 15, 2017 - $500 December 15, 2017 - $500 January 15, 2018 - $500 February 15, 2018 - $500 March 10, 2018 - $500 Which trip are you attending ?(You can select more than one) Puerto Rico Peru Romania CommentsDo you have a passport ?YesNoName (as it appears on your passport) First Last Date Email Address Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country PhoneGenderMaleFemalePrefer Not to AnswerMartial StatusSingleMarriedDivorcedWidowedFinancial Obligations (rent, tuition, loan payments)Domestic Obligations (Who are you responsible for, e.g. children, etc.)Work Obligations, Employment, Vacation Time AvailableMedical conditionsExperienceList all Mission Trips Experience (Country, Type of Ministry, Year)List all City Church Ministry Experience (Position, Leader, Years)Skills: List areas that you have extensive experience in or passion for (e.g., leading worship, film, art, children, etc.) Please identify your level of expertise in each area that you list.Have you completed ID Seminar ?YesNoIf so, use page 86 of the ID Seminar workbook to answer the next two questions.What are your top 5 strengths ?What are your spiritual gifts ?Describe your salvation experience and list the year it happened.Are you aware of any situation that could affect your ability to minister in the mission field? If so, explain.