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Verse of the day

English Standard Version Bible Daily Verse - 1 Corinthians 2:9
But, as it is written, "What no eye has seen, nor ear heard, nor the heart of man imagined, what God has prepared for those who love him"....

Short-Term Missions Trip Application

Please fill out the Missions Application below.  Please note: only apply for the trips that have been listed as accepting applications.  The application will take approximately 30 minutes to complete.

Your Name                                    
Date of Birth  
Place of Birth  
Address (street, city, state,
zip)		  
Gender  Female
 Male
Email address  
Home Phone  
Work Phone  

 

Place of Employment/School

Name of Your Employer/School      
Job Title/Year in School   


Background Check

   I understand that to be considered to serve on an EBC Missions 
       Team, I must complete a background check provided to me by the
       EBC Church Office.

Your Desired Trip 

Trip you're applying for:                
Do you have a valid U.S.
Passport?		  Yes
No
Have you previously dated or are
you currently dating someone
who is applying for this trip?  

 Yes
 No  

How long have you been
attending EBC?		  
Please list all past activities/
ministries you have been involved
with through EBC.		  
What ministry(s) are you
currently involved in at EBC?		  
Do you speak any foreign
languages?  If so, please list all
languages. 		   
Do you sing or play any musical
instruments?  If so, please list
instruments.  		  
What do you believe are your
spiritual gifts.		    

 

Emergency Contact Information

Please provide the name of 
your emergency point of    
contact POC).                           		 
Emergency POC address
(street, city, state, zip)		  
Daytime phone  
Evening phone  
Do you have any medical
restrictions or handicaps that
we need to make provisions for
or should be aware of? 		  
Are you currently taking any
medications?		  Yes
 No  


Health Insurance Information

Health Insurance Company            
Policy Number  
Physician's Name  
Physician's Phone  

 

References

Reference #1   
  Name                                     
  Relationship  
  How long have you known this
  person?		  
  Address (street, city, state,
  zip)		  
  Phone    
    
 Reference #2  
  Name  
  Relationship   
  How long have you known this
  person?		  
  Address (street, city, state,
  zip)		  
  Phone  
     
Have you previously applied to 
a short-term mission trip
(domestic or international) and
have been unable to go or were
declined? 		   Yes
  No
Please list any mission trips
that you have been on
previously.		  
If you are not selected for this
team, would you be interested
in going on future short-term
mission trips through EBC?		 Yes
No

Share your conversion
experience (God-story and how
you came into a personal
relationship with Christ). 
Please only type one or two
paragraphs).

  
Why do you want to be on
this team?  (Please limit to 
one or two paragraphs). 		  
What are some realistic road-
blocks that might keep you
from going on this trip? (Please
limit to one or two paragraphs). 		  

Once your application is turned in, you will be contacted for an interview.  Please bring the $100 deposit to your interview.  Please make sure you have answered all questions, then click "Submit Form."