2018 Missions Trip Application

Thank you for applying to a NativityMissions Trip! Please note that after submitting your application you will receive a confirmation message in your browser to confirm that it was submitted successfully.

Please be aware that you may not receive a call immediately after you submit your application. Our application process is ongoing, and interviews are conducted in batches. Once we have a batch of applicants to meet, a NativityMissions team member will contact you to schedule an interview.

*First Name:
*Last Name:
*Full Name (exactly as it appears on your passport):
*Date of Birth:
*Cell Phone Number:
Alternate Phone Number:
*Email Address:
*Street Address:
*City:
*State:
*Zip Code:
*T-Shirt Size:
Passport Number (all passport info required for international trips):
Issue Date:
Expiration Date:
US Passport:
If not a US passport, please specify country issued from:
*Which trip are you applying for:
*Are you a member of Nativity:
If so, how long have you been a member:
*Are you a member of a Small Group:
If so, who is the leader:
*Do you serve in a Nativity Ministry:
If so, which one(s):
*Have You Completed Stand Training (or Shield the Vulnerable)?:
If at another parish, please provide the church's name and phone number:
Required information for all students: Please list both parents' names, phone numbers, and email addresses:
*Health Insurance Provider:
*Policy Holder's Name:
*Policy Number:
*Physician's Name:
*Physician's Phone:
Do you have any health limitations -- please explain:
Do you have any allergic reactions to food, medicine, or insects -- please explain:
*Emergency Contact #1 (name, relationship, cell phone, email):
*Emergency Contact #2 (name, relationship, cell phone, email):
*Please describe any past and current service involvement (e.g. volunteer positions, mission trips):
*Why do you have an interest in this trip? Do you believe God is calling you to serve on this team:
*How do you hope this trip will deepen your relationship with God:
*What strengths will you bring to the trip? What do you think will be the biggest challenges for you:
Additional information: