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Global Passion
Web Form - Individual

To apply:

1.  Fill out the form below and click on the "submit" button.
2.  Send in your $150 deposit for international trips or $75 for domestic trips to:
              Global Passion Ministries 
              100 Anderson Road  
              Napa, CA  94558.

Your welcome packet and fundraising materials will be mailed to you as soon as we receive your deposit and pastor's recommendation.  Deposits are non-refundable.

First Name:

(Legal name as written on passport)
Middle Name:
Last Name:
Age:
Gender:
Male
Female
Country of Citizenship:
United States Canada
Other
Mailing Address:
Street Address (S.A.): (If different from mailing address.)
City:
State:
Zip:
S.A. City:
S.A. State:
S.A. Zip:
Email Address:
Home Phone:
Cell Phone:

Father's First and Last Name:
Contact Phone:
Mother's First and Last Name:
Contact Phone:
Emergency Contact:
Relationship:
Contact Phone:
Major City of Departure:
Do you have a passport:
Yes
No
Passport Number:
Birthdate (mm/dd/yyyy):
How do you prefer to receive information?
Mail
Email
Country of Interest and Dates:
Previous Mission Experience:
Month & Year (mm/yyyy):
Church Name:
Pastor's First and Last Name:
Church Address:
City:
State:
Zip:
Pastor's Email:
Length of time actively involved in church:

How (or from whom) did you learn of this Global Passion Ministries mission trip?
 
What is your current church affiliation and participation?
 
How did you come to have a relationship with God through Jesus Christ? (brief testimony)
 
Describe your current relationship with God. What has he been teaching you recently?
 
How well do you deal with uncertainty and change? How well do you take instruction? Would you be willing to forego personal preferences to honor the culture of the country in which you are going?
 
On the mission field we are involved in spiritual battle and are vulnerable to spiritual attack. Because of this we need to ask if you have struggled in the area of sexual immorality during the last 12 months.
No Yes I prefer a phone cal to discuss this answer
If yes, please explain:
In the last 12 months, have you used narcotics, hallucinogens, or drugs not prescribed by a physician?
Yes No
Describe your cross-cultural living, training, and/or travel experiences. What did you learn? What types of difficulties did you experience? Do you speak other languages? If so, how well?
 
Ministry Experience:
1. Can you briefly share your testimony with another person? Yes
No
2. Can you effectively share your faith? Yes
No (If no, please explain)
3. Do you feel comfortable praying in public? Yes
No
Why do you want to participate on this trip?
 
Suppose you felt the leading of the Holy Spirit to take a direction or to act differently from what your team leader instructs. How would you handle this?
 
I have read and agree with the Statement of Faith. Yes
 
Do you anticipate that you will be raising financial support for this trip?
Yes
No
Unsure
 
 

We do our best to make these trips as comfortable as possible. However, Global Passion mission trips may be extremely strenuous and stressful. They may include long airplane, train, boat, or bus rides of 10 to 20 hours in duration. Travelers are always required to carry their own luggage. Rest rooms are not always readily accessible. The food can be high in fat, carbohydrates, and sodium content. Fruits and vegetables may not be available. The housing and meeting rooms may not have air conditioning or adequate heating. There can be a considerable amount of walking between locations in addition to climbing many flights of stairs. During the winter months, walking may be on snow-covered or ice-covered walkways and stairs. Conditions in much of the world can be very hot and this might affect your overall strength and energy. The air quality is poor in many locations. Each trip varies. Please speak with the team leader if you have any concerns about your suitability for a particular trip.

Any of these factors could aggravate certain health conditions and the medical facilities in many countries where we travel are limited. We reserve the right to request a medical release statement from your physician.
1. Do you have any existing medical condition(s) that may require extended medical treatment or surgery in the future? Have you had any knee or back problems?
Yes
No
2. Have you had any surgery or major health problems in the past 2 years? If so, please explain.
Yes
No
3. Have you ever experienced any psychological or emotional conditions? (ie: eating disorders, bipolar disorder, depression, etc.)
No
Yes
(If yes, please explain and indicate if you are currently being treated by a physician)
I would prefer a phone call to discuss this answer.

If you did not list any conditions in questions 1-3, please skip to question 5.

4. In your opinion, would any of the conditions listed above limit your ability to perform the ministry for which you have applied?
Yes
No
Have you discussed this trip with your physician?
Yes
No
5. Are you currently taking or do you regularly take any medications? If so, please list the drug name(s), what each drug treats, and which are prescription and non-prescription.
No
Yes
6. Do you have any special dietary needs? If so, please explain.
No
Yes
7. Do you snore or have any sleep disorders? (This is to help us determine your room assignment and will be kept confidential. If you are not able to have a roommate due to your snoring, you may be required to pay extra for a private room if needed.)
No
Yes
8. Please briefly summarize your health. Do you place any limits on yourself to avoid physical or medical problems? (Any hearing, vision, mobility limitations?)

The purpose of GPM is the ministry of Jesus Christ and His church.Any available sightseeing and shopping will be permitted only if it coincides with the team's main purpose, but could be cancelled if not deemed convenient for travel, time, or if it hinders the ministry.Trip costs are based on fall 2013 prices and are subject to change. Teams may be switched in the event of any political, natural, or missions-related crisis.All donations received by GPM go toward project expenses.To receive a tax deduction, the IRS stipulates that the donor must release control of the money donated to the Non-profit organization.For this reason, money cannot be refunded and cannot be designated to a person.The individual will be a fundraiser and will get credit for raising funds equal to the price of the trip.If an individual is unable to participate in a GPM trip, the funds he/she has raised, less incurred expenses and administrative fees, will remain credited to his/her account for one year depending on date of cancellation.In the event of political unrest or natural disaster, GPM decides if and where to send a team.In the event that a team has cancelled for any reason, team members will be assigned by GPM to another trip of similar expense.GPM regulates conduct, dress, and Christian lifestyle.These are explained in the packet of information sent to accepted applicants.Team members, leaders, and staff adhere strictly to GPM policies and are subject to dismissal for disobedience without refund or reimbursement.Team members, leaders, and staff serve at their own risk and GPM is not liable in the event of sickness, accident, death, terrorist acts, or for transportation or any other expense involved with the events listed.The GPM experience includes intense physical activity including extended hiking, continuous walking, and strenuous choreography.We require all participants to be in good physical and mental condition and may request a physical exam and reference from a doctor (if needed).

The information I have given Global Passion Ministries is accurate and true to the best of my knowledge. I also give GPM the right to use my picture, voice, and/or testimony in any type of promotional or advertising materials. Typing my name in the field above and submitting this application signifies my approval of all limitations listed above.


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