Hope Community Church of Agawam

Name (Required)

Email Address (Required)

Complete your full name as shown on your passport: (Required)

Mark "N/A" if you do not have a passport. You will be required to apply for a passport immediately if you accepted for the trip. You are responsible for your full cost of the trip if you cannot go due to a lack of a passport.

Passport Number:

Put “None” if you do not have a passport.

Passport Expiration Date:

Date of Birth: (Required)

Sex:

Home Address: (Required)

Phone Number: (Required)

Are you able to attend an interview between 12pm-4pm on April 27th or April 28th? (Required)

Jen Russell or Matt Alger will contact you to try to schedule an alternate time if you cannot make either time.

Medical Information:

Do you take medication on a regular basis? (Required)

Do you have any allergies? (Required)

If yes, then include information on the next question.

Do you have any recurring or recent health issues that may affect this trip?

Include major illnesses and medical events in the last year, as well as allergies and dietary restrictions.

Do you have health insurance that will cover you during this trip? (Required)

Health Insurance carrier and group number:

Emergency Contacts

Provide two emergency contacts who will not be on this trip.

Emergency Contact 1 Name: (Required)

Emergency Contact 1 Address: (Required)

Emergency Contact 1 Phone Number: (Required)

Emergency Contact 2 Name: (Required)

Emergency Contact 2 Address: (Required)

Emergency Contact 2 Phone Number: (Required)

Church Involvement

What local church do you regularly attend? (Required)

Are you a member of your church?

Please describe any ministry involvement of yours in your local church:

Have you ever participated in a missions trip at any church? (Required)

Please describe your past missions trip or overseas experience, if any:

Do you agree with and affirm the Biblical Foundations of Hope Community Church? (Required)

See Hope's Biblical Foundations at the following URL: https://hccagawam.churchtrac.com/card/2

Are you willing to undergo CORI and SORI background checks?

CORI: Criminal Offender Registry Information; SORI: Sexual Offendor Registry Information

Experience/Talents:

Please describe your educational/vocational background: (Required)

What languages can you speak fluently? (Required)

Describe your cross-cultural experiences: (Required)

List any strengths and skills that you have that may be useful for this trip:

Have you lead Bible studies? (Required)

Do you feel God's call to go on this trip? If so, how do you know? (Required)

How do you expect to accomplish the Great Commission on this trip? (Required)

Matthew 28:16-20: https://www.blueletterbible.org/esv/mat/28/16/p1/s_957016

How do you feel about living with others in close quarters? (Required)

Are you willing to submit to the team leader joyfully and accept the leader’s direction? (Required)

How do you plan on funding the mission trip? (Required)

Please describe your personal testimony: (Required)

Include information about the how, when, where, and with whom you came to know the Lord.

Reference:

Please provide a pastor or elder from your local church as a reference.

Pastor/Elder's name: (Required)

Pastor/Elder's Phone Number: (Required)

Pastor/Elder's email address: