Short-Term Missions Application

Personal Information

Name*

First Last

Which trip are you interested in applying for?*

Please state the trip name or the group you are applying to attend with.

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Upload a photo of yourself*

Max. file size: 78 MB.

Travel Documents

Passport Photo*

Max. file size: 78 MB.

If you have applied for a passport, but haven't received it yet, please submit a copy or photo of your driver's license or ID. EU citizens may only need an ID although a passport is preferred.

Select Traveling Document:*

First & Last Name As It Appears on Document:*

First Last

Passport Number or ID number:*

Date of Issue

Date of Expiration

Country of issue*

Emergency Contact

Name

First Last

Relationship

Email

Phone

Educational Background

Highschool Name*

Graduation Date*

Higher Education (School/ Program Name)

Graduation Date

List extracurricular activities and honors (social, scholastic, and athletic), community service, and previous mission trips:*

List other skills, talents, language ability, or special qualifications:*

Employment History

Please provide a chronological list of your past 3 employers, providing their name, location, your position, the dates of your employment, and your reason for leaving.

Employer #1*

Employer #2*

Employer #3*

References

Please provide a name, occupation, and contact details (email and phone) and tell us how long you have known each other. Please list two personal (e.g. friend or roommate) and two professional (e.g. small group leader, boss) references. Please do NOT list family members as references.

Reference #1 (Professional)*

Reference #2 (Professional)*

Reference #3 (Personal)*

Reference #4 (Personal)*

Background + Medical Information

Have you ever been convicted of a crime?*

Please Explain Below

Have you used any illicit or prescribed, not prescribed to you, drugs, or marijuana within the past year?*

If yes, please explain.

Have you struggled with any form of sexual immorality within the last year?*

If yes, please explain.

Do you have any physical or health conditions that require special attention or might prevent you from serving or affect your service?*

If yes, please explain.

Do you have any allergies and/or special dietary needs?*

If yes, please explain.

My current state of health is...*

Poor
Moderate
Fairly Good
Excellent

Spiritual Information

When did you accept Jesus Christ as your Lord and Savior?*

Briefly describe your salvation experience with Jesus Christ.*

Where do you currently attend church? How long have you been in attendance there?*

What positions of service have you held in this church or in previous ones attended?*

How did you learn about short-term Missions with EI and why do you wish to serve with us?*

Is there any further information you wish to provide?

By submitting this application for Short-term Missions with European Initiative, I affirm that all information is true and complete. I grant permission for European Initiative to contact all references, schools, and former employers to make inquiries regarding my character, personal attributes, and general reputation. I understand that any misrepresentation in this application will be sufficient cause for rejection of this application or dismissal from Short-term Missions.*

I Agree

Now is the time to reach Europe with the gospel.

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Personal Information

Travel Documents

Emergency Contact

Educational Background

Employment History

References

Background + Medical Information

Spiritual Information

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