Agape Ministry Mission Trip Team Member

Application

Name______________________________________   DOB __________Age ____

Address: ___________________________________

              ____________________________________

Hm. Telephone ___________________________ Cell _________________________

Are you an USA Citizen? Yes___ No__. Resident? Yes___ No___

(Be ready to give us your Social Security and Copy of ID if accepted as a member of any traveling team)

Emergency Tel. and Person’s name ______________________________________

____________________________ Relationship ____________________________

E-mail address ____________________________________________

Can we text you at your cell?  Yes _________ No ________________

Church affiliation _____________________________________________________

Address of church _____________________________________________________

Pastor’s name ________________________________________________________

Can we call him/her for references Yes _____ No_________ if no why _____________

_______________________________________________

Have you gone in mission trips before Yes _____ No ________ if yes Explain

________________________________________________________________________________________________________________________________________________________________________________________________________________________

What was your experience? ________________________________________________________________________________________________________________________________________________________________________________________________________________________

What is your native language? __________________ What other languages can you speak ________________________________________________________________.

What is your Spiritual strength? ____________________________________________

In what Spiritual gifts do you move (i.e. healing, deliverance, prophecy, etc) ________________________________________________________________________________________________________________________________________________

What mission trip are you applying for? (WOPADA Conferences in Kenya; WOPADA Conference in Costa Rica; Kenya Mission Trip or other.

_______________________________________________________________________

In one paragraph, tell us why you chose to apply for this specific trip.  Use the back of this page.

Signature ______________________________ Date ______________________