Eastminster Presbyterian Church - Nicaragua Short-Term Mission Trip

Nicaragua Short-Term Mission Trip

Short-Term Trip Destination: Nicaragua
First Name	*
Last Name	*
Address	*
City	*
State	*
Zip Code	*
Home Phone Number
Cell Phone Number
Work Phone Number
Your Email Address	*
Current Residency Status	*
If "Other" enter residency status
Do you have a current passport? (Passport cannot expire within 6 months of departure)	*
Passport Number	*
Place issued	*
Date issued	*
Date of birth (MM/DD/YYYY)	*
Gender	*
Marital Status:	*
Member of Eastminster	*
Non-Member: What church do you regularly attend and for how long?
Previous Trips
Have you been on a Short-Term Missions Trip before?	*
If yes, enter the name of the last sending organization:
Destination of last trip:
Dates of last trip (MM/DD/YYYY to MM/DD/YYYY)
Purpose of trip:
Please give a brief testimony concerning the circumstances that caused you to recognize your need for Christ and acceptance of Him as your Lord and Savior *
Please briefly explain your understanding of the Gospel: *
What are you currently doing to encourage growth in your spiritual life? *
What is your purpose/your goals for this Short-Term missions trip? *
How does this Short-Term missions trip support the Great Commission? *
Please give two personal, non-related references:
Reference 1 Name:	*
Reference 1 Address:	*
Reference 1 City and State:	*
Reference 1 Phone:	*
Reference 1 Email:
Reference 2 Name:	*
Reference 2 Address:	*
Reference 2 City and State:	*
Reference 2 Phone:	*
Reference 2 Email:
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