Short-Term Missions Application Personal Information Name * First Name Last Name Email * Which trip are you applying for? * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Select Travel Documents * Passport EU Citizen ID Name as it appears on document * First Name Last Name Passport # or ID # * Date of Issue MM DD YYYY Expiration Date MM DD YYYY Country of Issue * Emergency Contact First Name Last Name Relationship Email Phone (###) ### #### High School * Date of Graduation MM DD YYYY Higher Education Graduation Date MM DD YYYY List extracurricular activities and honors, 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? * No Yes If yes, please explain. Have you used any illicit or prescribed, not prescribed to you, drugs, or marijuana within the past year? * No Yes If yes, please explain. Have you struggled with any form of sexual immorality within the last year? * No Yes 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? * No Yes If yes, please explain. Do you have any allergies and/or special dietary needs? * No Yes If yes, please explain. My current state of health is... * Poor Moderate Fairly Good Exceptional 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. Agree Thank you for applying, please keep an eye on your email for next steps!
