EDM - Short Term Mission Application

Select Trip You Are Applying to Attend

Enter Your Personal Information

First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Email

Birthdate

List any drug, food, plant, or animal allergies

Are your Hepatitis A and Tetanus shots up to date?

Do you have any other health issues, medical conditions, or physical handicaps, or are you currently under a doctor’s care for any condition?

Are you taking any medication at this time?

Do you have a valid passport with an expiration date greater than 6 months after the dates of any expected foreign travel?

Emergency Contact

Emergency Contact Name

Emergency Contact Email

Emergency Contact Phone Number

Emergency Contact Relationship to Participant

Leader Reference - Provide a name and contact information for a pastor or other leader who has been involved in your spiritual life.

Reference Name

Reference Church / Ministry Name

Reference Email

Reference Phone Number

Have you read and do you agree with EDM's Core Beliefs? - www.everydaymission.com/what-we-believe

Do you support the "ministry of Jesus" in signs and wonders such as healing, deliverance, and miracles?

Briefly describe your experience being on previous ministry teams / trips, including short term missions to other countries.

Briefly share your testimony and where you are in your relationship with Jesus.

Are you willing to be part of a ministry training time prior to the trip? (Details will be shared by the trip organizer)

Agreement and Consent

By submitting this form, I acknowledge that I have read and understood the purpose of the mission trip and agree to participate wholeheartedly. I understand that this trip involves Christian humanitarian work, evangelism, and ministry on behalf of Everyday Mission.

I realize and acknowledge that my participation on a mission trip includes risk and possible dangers. I agree not to hold Everyday Mission, its officers or other agents liable for any injury, loss, damage, or accident that I might sustain while on a short-term mission event/effort.

I agree to abide by the guidelines set forth by the mission organizers and commit to being respectful, compassionate, and open-hearted throughout the duration of the trip.

Signature