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Missions

We seek to live out Matthew 28:18-20 by sharing the love and gospel of Jesus Christ with our neighbors and around the world.

Short Term Mission Trip Application

Trip Selection
Select a Trip*
Select the trip you wish to apply for
Personal Information
Name
First Last
Date of Birth*
MM
DD
YYYY
Email*
Phone Number*
Home Address
Street Address Address Line 2 City State ZIP Code
Emergency Contact Information
Name*
First Last
Phone*
Email*
Relationship
Passport Information
Do you have a passport?*
- Yes
- No
- I have applied for one
Enter your full legal name EXACTLY as it appears on your passport*
Passport Number*
Date of Issue*
MM
DD
YYYY
Date of Expiration*
MM
DD
YYYY
Date your passport expires
Insurance Information
You must have your own medical insurance coverage to participate in a Christ Baptist missions trip. When submitting this form, I agree and understand that Christ Baptist does not provide any insurance coverage for losses, sickness or injuries that may occur to any participant, and that I am responsible for providing my own medical insurance coverage.
Health Insurance Company*
Policy Number*
Beneficiary Name for Supplemental Travel Insurance*
First Last
Relationship of travel insurance beneficiary to you*
Church Membership Information
Please Choose*
- I am a member of Christ Baptist Church
- I am in the process of becoming a member
- I am not a member, but regularly attend Christ Baptist Church
- I am a member of/attend another church
Name of church where you are a member or attend*
Pastor's Name*
Are you a member there?*
- Yes
- No, I am an attender only
Year you became a member of Christ Baptist*
Please enter a value between 2002 and 2199.
Are you a former member of Christ Baptist Church?
- No
- Yes
Enter the year that you left Christ Baptist.*
Please enter a value between 2002 and 2199.
Format YYYY
How did you hear about this trip?*
Have you previously participated in a short-term mission trip with Christ Baptist?*
- Yes
- No
Testimony and Biographical Information
Provide answers to the following questions in 100 words or less. If you have no applicable experience with which to answer one of the questions, list "None".
Write out the gospel in your words.*
Write out your salvation story, including when you were baptized.*
How are you currently growing in your relationship with Christ?*
List all the areas of ministry in which you are currently involved.*
List any short or mid-term ministry experiences you have had.*
Why do you want to be a part of a short-term mission team?*
Are you involved in a Sunday school class or small group? If so, what is the name of the leader or teacher?*
Additional information you would like to share about your involvement in your church.
Form Submission and Signature
- I am expressing my agreement with Christ Baptist Church’s Vision, Mission, Goal, Values, and Strategy, Statement of Beliefs, and Membership Covenant.
- I am willing to work under the direction of the team leaders and field partners to accept and perform any and all assignments with a God-honoring attitude.
- I agree to be subject to a background check.
- I am confirming that I have the time and energy to devote to the pre-trip and post-trip responsibilities.
- I agree to participate in the training arranged by the leadership at Christ Baptist and complete all requirements for the trip.
- I agree to return home at my own expense if the field partner, in conjunction with the team leader, determines my behavior has been inappropriate and therefore jeopardizing the long-term ministry.
- I understand that my involvement on this trip can be denied prior to travel if I do not participate in the full preparation of the trip.
- I understand that my $250 deposit for this trip is non-refundable.
- I voluntarily release Christ Baptist Church, its representatives and employees from any and all liability related to the activities of the trip.
Electronic signature (Parent's name if applicant is under 21 years of age)*

Christ Baptist Church
400 Newton Road
Raleigh, NC 27615

info@ChristBaptist.org

©2016 Christ Baptist Church