Short-Term Missions Application


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First Name
Middle
Last Name
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Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Phone Number*
Age*
Date of Birth*
Email Address*
Home Church
What agency/church is supporting this mission trip?*
Where will you be serving?*
Departure Date*
Return Date*
What responsibilities will you have? *
Please explain how the Lord has worked in your life, including how and when you received Christ, and how you decided this ministry is what the Lord wants you to do. *
How much funding is needed for the trip?*
How much are you requesting from St. John?*
To whom should the funds be sent?*
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Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Country
"I understand that I am going as a representative of the Lord Jesus Christ and St. John Mennonite Church. I will serve as an ambassador of Christ and will conduct myself in a manner worthy of the Gospel. When I return I will provide an oral report to the congregation and/or a written report of my trip to the Missions Committee."*
Please type your name as your signature if you are in agreement with the above statement. *