Application Form

Name & Contact Information

Your First Name*:

Your Last Name*:

Birthdate*:

Street Address*:

Other Address(optional):

City:

State/Province*:
---AlabamaAlaskaAlbertaAmerican SamoaArizonaArkansasArmed Forces AmericasArmed Forces EuropeArmed Forces PacificAustralian Capital TerritoryBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew South WalesNew YorkNewfoundlandNorth CarolinaNorth DakotaNorthern Mariana IslandsNorthern TerritoryNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandPuerto RicoQuebecQueenslandRhode IslandSaskatchewanSouth AustraliaSouth CarolinaSouth DakotaTasmaniaTennesseeTexasUtahVermontVictoriaVirgin IslandsVirginiaWashingtonWest VirginiaWestern AustraliaWisconsinWyomingYukon Territory

Zip / Postal Code:

Email*:

Primary Phone Number*:

Alternate Phone Number:

Relationship to Applicant*

Emergency contact name:*

Emergency contact phone number:*

Personal Information

Passport Number*:

Name on Passport*:

Marital Status*:

Issue Date*:

Expiration Date*:

Current Occupation*:

Background Information

A brief testimony of how Jesus Christ has transformed your life on a separate page.*:

How long have you been a Christian?*:


Please, mail or email your passport-style color photo, which can be printed/purchased at locations such as Walgreens and send a letter of recommendation from your pastor or spiritual mentor and his/her contact info.

Do you regularly attend a local church family?*
[radio* do-tou-regularly-attend-a-local-church-family "YES" "NO"]

If answer to above's question is NO, please explain:

If answer to above's question is YES, which church?

My gifts are...*
PreachingTeachingPraying for PeoplePrayer WalkingIntercessory PrayerChildren or Youth MinistrySingingPlaying an InstrumentDance or DramaWitnessingCounselingMarriage CounselingChurch Volunteer TrainingLeadership TrainingSpiritual WarfareMedical Services
Other -
Not Sure - Explain:

Please describe your experience in the gifted areas you indicated above:

Have you participated in a foreign mission before?
YESNO
If question above was answered YES, please provide additional information, such as the country visited, the hosting organization, year you attended and any other information that might provide insight into the trip:

What country or part of the world has God placed on your heart or for which you have had a burden?

What are your expectations for this trip (briefly share)?

Do you consider yourself a good leader?
YESNO
If question above was answered NO, please explain:

Do you consider yourself a good follower?
YESNO
If question above was answered NO, please explain:

Do you consider yourself a team player?
YESNO
If question above was answered NO, please explain:

Is the Fruit of the Spirit evident in your life? (Galatians 5:22-25)
YESNO
If question above was answered NO, please explain:

By the grace of God, are you able to love the unlovely?
YESNO
If question above was answered NO, please explain:

On your second day in the country of destination, there will be an orientation meeting. The schedules and instructions for each day of the ministry will be discussed during the morning prayer meetings. Because of the nature and locations of our mission trips, there may be situations when you will have to follow the orders of the group leadership without a lot of explanation.

Are you comfortable with the above situation?
YESNO
If NO, please explain:

Are you able to walk, use stairs (if no elevators are available), sit through a service without air conditioning (if none available)?
YESNO
If question above was answered NO, please explain:

Do you have a physical disability, medical condition or food allergy that may be dangerous to you or other passengers during the trip?
YESNO
If question above was answered NO, please explain:

How did you find out about World Missions Alliance?

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