MISSION TRIP APPLICATION

Application Date *

MM

DD

YYYY

Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Current Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number *

(###)

###

####

Are You a Member of Watkinsville? *

or member-in-process, or member of a partner church?

Yes

No

Are You Regularly Involved in smaller group/community at Watkinsville? *

Yes

No

*

If the answer is "yes" to any of the following questions, please check the appropriate box:

Excluding minor traffic violations, have you ever been convicted of any violation of any law or ordinance?

Have you ever been arrested or criminally convicted for either physical or sexual abuse of a child?

Do you have any physical impairment that prevents you from physical work?

Have you been under the care of a counselor or licensed mental health professional over the last 12 months?

Do you have any medical issues that the Watkinsville Global Team should be aware of?

Is there anything about your lifestyle that would bring reproach on yourself, your family, the Church, or Christ?

None of the Above

Beneficiary Name *

First Name

Last Name

Issue Date

MM

DD

YYYY

Expiration Date

MM

DD

YYYY

In Submitting This Application *

I am expressing my agreement with the mission, vision, strategy, goals and statement of faith of Watkinsville First Baptist Church; I am willing to work under the direction of the Watkinsville Global Team and Global Partners, to accept and perform any and all assignments with a God-honoring attitude; I am willing to conform to the standards of national Christians, even if those standards are stricter than my own; I agree to be subject to a background check; I am confirming that I have the time and energy to devote to the pre-, mid- and post-trip responsibilities; I agree to participate in any training arranged by the Watkinsville Global Team and complete all requirements for the trip; I am prepared to take on the financial requirements of this trip, through personal sacrifice, fundraising and faith in the provision of God; I understand that my involvement on this trip can be denied prior to travel if I do not participate in the full preparation of the trip.

I agree

I disagree