CrossRoads Baptist Church Missions

Missions Home

Missions Trip Application

Trip you would like to participate in:

Contact Information

Name:

Address:

City:

State:

ZIP:

E-mail:

Home Phone:

Cell Phone:

Work Phone:

Other:

Passport Information

Do you have a passport?

Yes No

Personal Information

Why are you interested in this trip?

Have you ever taken a missions trip before?

Yes No

What talents or abilities do you have that you think might be helpful on the trip?

What do you hope to gain, spiritually, through this trip?

Have you traveled internationally before?

Yes No

Could you...

Give your salvation testimony to a small group?

Give your salvation testimony to a large group?

Sing a song for a church service?

Play an instrument for a church service?

Which instrument?

Teach a Bible lesson to children?

Teach a Bible lesson to teens?

Teach a Bible lesson to adults?

Are you skilled in any trades?

Yes No

What other hobbies or skills do you enjoy?

Please write out your salvation testimony.

Please give three contacts in case of an emergency.

Contact Information (1)

Name:

Address:

City:

State:

ZIP:

E-mail:

Home Phone:

Cell Phone:

Work Phone:

Other:

Contact Information (2)

Name:

Address:

City:

State:

ZIP:

E-mail:

Home Phone:

Cell Phone:

Work Phone:

Other:

Contact Information (3)

Name:

Address:

City:

State:

ZIP:

E-mail:

Home Phone:

Cell Phone:

Work Phone:

Other: