GUTS MISSIONS TRIP APPLICATION

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Carol Freeman
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GUTS MISSIONS TRIP APPLICATION APPLICATION DUE FEBRUARY 20TH, 2017 TRIP INFORMATION: LIMA, PERU 2017 PERSONAL INFORMATION: NAME (EXACTLY AS IT APPEARS ON YOUR PASSPORT) FIRST: _ MIDDLE: LAST: _ AGE:

1 GUTS MISSIONS TRIP APPLICATION APPLICATION DUE FEBRUARY 20TH, 2017 TRIP INFORMATION: LIMA, PERU 2017 PERSONAL INFORMATION: NAME (EXACTLY AS IT APPEARS ON YOUR PASSPORT) FIRST: _ MIDDLE: LAST: _ AGE: _ BIRTHDATE: HOME PHONE: CELL PHONE: _ ADDRESS: CITY/STATE/ZIP: GENDER: T-SHIRT SIZE: S MARITAL STATUS: M L SINGLE XL ENGAGED 2XL FEMALE MALE 3XL MARRIED SEPARATED DIVORCED WIDOWED NAME OF SPOUSE: DO YOU HAVE CHILDREN: YES IF YES, LIST NAMES AND AGES: IF YOU ARE T A UNITED STATES CITIZEN: COUNTRY OF RESIDENCE: _ COUNTRY OF PASSPORT ORIGIN: VISA TYPE: _ DO YOU HAVE A GREEN CARD: YES ONE ENTRY MULTIPLE ENTRY EMERGENCY INFO: NAME: RELATIONSHIP: NUMBER:

2 NAME: RELATIONSHIP: NUMBER: PERSONAL INFORMATION: DO YOU HAVE ANY SPECIAL TALENTS THAT COULD BE USED ON MISSIONS? (I.E. SINGING, PLAYING AN INSTRUMENT, MEDICAL BACKGROUND, CARPENTRY, COOKING, PHOTOGRAPHY/MEDIA, A/V, ETC.) IF YES, EXPLAIN: HAVE YOU COMPLETED NEXT STEPS? HAVE YOU COMPLETED SECOND MILE? YES YES HAVE YOU COMPLETED THE GUTS INTERNSHIP? ARE YOU CURRENTLY SERVING ANYWHERE? YES YES IF YES, WHAT AREA(S): _ DO YOU HAVE A CURRENT PASSPORT? YES IS YOUR SCHEDULE FLEXIBLE? IF, CAN YOU SCHEDULE TIME OFF? YES YES ARE YOU CURRENTLY IN A DATING RELATIONSHIP WITH SOMEONE APPLYING FOR A GUTS MISSIONS TRIP? YES IF YES, WITH WHOM? WHAT AREAS ARE YOU INTERESTED IN SERVING? ADMINISTRATION FIELD WORK FUNDRAISING VOLUNTEER COORDINATION MEDIA/PRODUCTION SUMMARIZE ANY PREVIOUS MISSIONS EXPERIENCE:

3 HAVE YOU EVER BEEN CONVICTED OF A CRIME? YES IF YES, WHAT: _ HAVE YOU BEEN INVOLVED WITH ANY OF THE FOLLOWING IN THE PAST YEAR? ALCOHOL OR TOBACCO ILLEGAL DRUGS VIOLENCE BULLYING HOMOSEXUALITY PORGRAPHY SEXUALLY ACTIVE (IF SINGLE) OTHER (ANY OTHER MENTAL/PHYSICAL STRUGGLES THATCOULD HINDER YOUR EFFECTIVENESS ON THE MISSIONS FIELD): PLEASE LIST TWO PERSONAL REFERENCES (N-FAMILY IN REGARDS TO WORK ETHIC AND CHARACTER): NAME: _ RELATIONSHIP: NUMBER: _ KWN FOR HOW LONG: _ NAME: _ RELATIONSHIP: NUMBER: _ KWN FOR HOW LONG: _ EDUCATION AND TRAINING: HIGH SCHOOL NAME: YEAR GRADUATED: _

4 COLLEGE/UNIVERSITY: _ YEAR GRADUATED: MAJOR: _ MIR: TYPE OF DEGREE: DO YOU SPEAK ANY FOREIGN LANGUAGES? YES IF YES, PLEASE LIST LANGUAGE AND PROFICENCY: _ PLEASE LIST YOUR TWO MOST RECENT JOB POSITIONS: COMPANY/ORGANIZATION: _ DATES OF EMPLOYMENT: PLEASE LIST POSITION AND JOB RESPONSIBILITIES: COMPANY/ORGANIZATION: _ DATES OF EMPLOYMENT: PLEASE LIST POSITION AND JOB RESPONSIBILITIES: LEADERSHIP & PROFESSIONAL EXPERIENCE: PLEASE CHECK ALL BOXES THAT APPLY TO YOU: HAVE YOU EVER TRAVELED TO A FOREIGN COUNTRY? YES IF SO, WHERE AND WHEN: _ HAVE YOU EVER BEEN ON A MISSIONS TRIP? YES IF SO, WHERE AND WHEN: _ HAVE YOU EVER SERVED AS A LEADER ON A MISSIONS TRIP? YES IF SO, IN WHAT POSITION AND RESPONSIBILITIES:

5 PLEASE LIST ANY LEADERSHIP POSITIONS THAT YOU HAVE HELD OR CURRENTLY HOLD: POSITION: LOCATION: DURATION: _ RESPONSIBILITES: POSITION: LOCATION: DURATION: _ RESPONSIBILITES: DO YOU HAVE EXPERIENCE IN THE FOLLOWING AREAS? (CHECK ALL THAT APPLY) LEADING A SMALL GROUP/BIBLE STUDY SPEAKING TO A SMALL GROUP (50 OR LESS) PERSONAL COUNSELING SPEAKING TO A LARGE GROUP (50 OR MORE) LEADING WORSHIP (VOCAL) CONFRONTATION/ACCOUNTABILITY LEADING WORSHIP (INSTRUMENTAL) COORDINATION GROUP ACTIVITIES HOW WOULD OTHERS DESCRIBE YOU? (CHECK ALL THAT APPLY) RESPONSIBLE RESPECTFUL SELF-CONFIDENT PATIENT LIKES CHALLENGES DETAIL ORIENTED ABLE TO DELEGATE CREATIVE TEACHABLE DISCIPLINED TASK ORIENTED ORGANIZED STUBBORN PEOPLE ORIENTED OUTGOING QUIET/TIMID PUNCTUAL ADAPTABLE

6 ABOUT YOU: PLEASE COMPLETE THE FOLLOWING IN 3-5 SENTENCES: 1. HAVE YOU MADE A COMMITMENT TO FOLLOW JESUS? _ IF YES, WHEN: 2. THERE S A DIFFERENCE BETWEEN KWING GOD, KWING WHO GOD IS, AND HAVING A PERSONAL RELATIONSHIP WITH GOD. DESCRIBE YOUR RELATIONSHIP WITH GOD: 3. WHY DO YOU WANT TO SERVE ON THIS MISSIONS TRIP? 4. WHAT QUALITIES DO YOU FEEL YOU CAN BRING TO OUR TEAM? 5. WHAT ARE YOUR 3 WEAKNESSES?

7 6. WHAT IS GOD SPEAKING TO YOU IN YOUR CURRENT SEASON OF LIFE? PLEASE EXPLAIN: AGREEMENT AND SIGNATURE: BY SUBMITTING THE APPLICATION, I AFFIRM THE FACTS SET FORTH IN IT ARE TRUE AND COMPLETE. I UNDERSTAND THAT IF I AM ACCEPTED AS A VOLUNTEER, ANY FALSE STATEMENTS, OMISSIONS, OR OTHER MISREPRESENTATIONS MADE BY ME MAY RESULT IN IMMEDIATE DISMISSAL. APPLICANT NAME (PRINTED): APPLICANT SIGNATURE: _ DATE: _ PLEASE READ THE FOLLOWING: THE PURPOSE OF GUTS MISSIONS IS TO HELP PEOPLE WIN AND SHOW THE LOVE OF JESUS EVERYWHERE WE GO. IN THE EVENT OF A NATURAL DISASTER, POLITICAL UNREST, UNFORESEEN SITUATIONS, GUTS MISSIONS RESERVES THE RIGHT TO CANCEL THE TRIP. AS A TEAM MEMBER I UNDERSTAND THAT TRAVEL ARRANGEMENTS ARE SUBJECT TO CHANGE AND THAT TEAM MEMBERS SERVE AT THEIR OWN RISK. OCCASIONALLY PRICES CAN FLUCTUATE DUE TO ECOMIC CONDITIONS: THEREFORE, GUTS MISSIONS RESERVES THE RIGHT TO CHANGE THE TRIP PRICES UP TO 10%. ALL APPLICATION FEES AND CONTRIBUTIONS ARE N-REFUNDABLE. TO RECEIVE A TAX DEDUCTION, THE IRS STIPULATES THAT THE DOR MUST RELEASE CONTROL OF THE MONEY DONATED TO THE N-PROFIT ORGANIZATION. FOR THIS REASON, MONEY MUST BE DESIGNATED TO GUTS MISSIONS. I UNDERSTAND THAT IF I AM UNABLE TO PARTICIPATE, I MUST TIFY THE GUTS MISSIONS OFFICE LATER THAN 45 DAYS PRIOR TO THE START OF THE TRIP DATE. THE FUNDS THAT I HAVE RAISED, LESS INCURRED EXPENSES AND ADMINISTRATIVE FEES, WILL REMAIN CREDITED TO MY ACCOUNT FOR 1 YEAR. I AGREE TO ADHERE TO GUTS MISSION S POLICIES OF DRESS, CONDUCT, AND CHRISTIAN LIFESTYLE, AND REALIZE I AM SUBJECT TO DISMISSAL FOR INFRACTIONS AT MY OWN EXPENSE. I ALSO GIVE GUTS MISSIONS THE RIGHT TO USE MY VOICE, PICTURE, AND/OR TESTIMONY IN ANY FORM OF ADVERTISING MATERIALS.

8 APPLICANT NAME (PRINTED): APPLICANT SIGNATURE: _ DATE: _

Discipleship Bible School Application

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