Missions Trip Applicaton: New Zealand

Your name *

Email address *

Personal Information

First Name: *

Preferred Name:

Middle Name:

Last Name: *

Phone number *

Address *

Gender *

Birthdate *

Marital status *

T-Shirt Size: *

Travel Information:

Exact Name on Passport: *

Passport Number: *

Passport Issue Date: *

Passport Expiration Date: *

Passport Issuing Country: *

Nationality: *

Primary Emergency Contact: *

Please list: First Name, Last Name, Email, and Phone # of Primary Emergency Contact

Secondary Emergency Contact: *

Please list: First Name, Last Name, Email, and Phone # of Secondary Emergency Contact

Health Concerns: *

Dietary Restrictions: *

Allergies: *

Medications we need to know about: *

Other Health Considerations: *

Church Involvement:

How long have you been attending a Pathways weekend service on a regular basis? *

Is Pathways Community Church your home church? *

Yes

If Pathways Community Church is not your home church, which church do you consider your home church? *

Please list two Pathways pastors, staff, volunteers, or small group leaders who can serve as a reference: *

Personal Spiritual Information:

When and how did you become a Christian, or what is your current spiritual status? *

Describe your personal relationship with Jesus Christ and how you live that out: *

(Practice of Bible study, prayer, and/or devotions, etc)

Describe a time you demonstrated a servant's heart: *

When was the last time you were out of your comfort zone? Share about your experience: *

Why do you feel God is leading you to serve on this mission trip? *

What expectations do you have for this mission trip? *

What cross-cultural experience have you had? *

(other mission trips/ministry/business/background/educational)

Describe how a past mission trip or ministry experience has had a lasting change in you: *

How do you handle highly stressful situations? *

Please rate yourself honestly in the following areas:

(1 for weakness - 5 for strengths)

Flexible *

min: 1 / max: 5

Open-Minded *

min: 1 / max: 5

Organized *

min: 1 / max: 5

Bold *

min: 1 / max: 5

Teachable *

min: 1 / max: 5

Resourceful *

min: 1 / max: 5

Prayerful *

min: 1 / max: 5

Team-Player *

min: 1 / max: 5

Please describe how others would describe your personality: *

Skills and Talents

What are some of your spiritual gifts? *

Do you have any experience with MUSIC (instruments, vocal, leading worship, etc)?

Indicate what type and level of experience below, If none, leave blank.

Do you have any experience with MINISTRY EXPERIENCE (teaching, youth ministry, children's ministry, prison ministry, etc)?

Indicate what type and level of experience below, If none, leave blank.

Do you have any experience with MEDIA PRODUCTION (photography, videography, video editing, etc)?

Indicate what type and level of experience below, If none, leave blank.

Do you have any experience with OTHER MINISTRY (teaching ESL, sports, etc)?

Indicate what type and level of experience below, If none, leave blank.

A copy of your responses will be sent to your email address.