Partners in Evangelism International

APPLICATION FOR SHORT TERM SERVICE

You may also download, print, and mail our short term mission trip application.

Personal Information
Name: *
Name:
Address: *
Address:
Phone: *
Phone:
Passport Information
Passport: Date of Issue *
Passport: Date of Issue
Passport: Expiration Date *
Passport: Expiration Date
Insurance Information
Primary Policy Holder: *
Primary Policy Holder:
Policy Holder:
Policy Holder:
Additional Information
If yes, please explain.
If yes, please provide a reason.
Church Information
Church Address: *
Church Address:
Church Phone Number: *
Church Phone Number:
Church Contact Person:
Church Contact Person:
Personal Preparation
If yes, please explain.
Skillset
Please check any/all areas where you are skilled.
Musical Skills
Please list any musical instruments that you would be willing to play.
Speaking Skills
Teaching Skills
Other Skills
Personal Spiritual Story
Additional Items
Along with this application, the following items are still necessary to be able to participate in the mission trip: 1) Signed Recommendation from applicant's Church 2) Release of Liability signed by applicant
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