Short Term Missions Program - Participant Application

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First Presbyterian Church
682 Mulberry Street; Macon, GA 31201
478-746-3223 | fax 478-745-2768
www.fpcmacon.org


City, Country

Start Date
General Information



























If you do not have a passport or need to renew a passport, please visit http://travel.state.gov for instructions. It is vital that you complete the application process as soon as possible as passport processing can take several weeks.

Parent/Guardian Information
Please complete the following if the participant is under the age of 18









Emergency Contact Information
Emergency Contact #1











Emergency Contact #2










Emergency Health Information
Information provided on this form will be kept in confidence and only accessed in case of emergency




Please verify that your insurance policy includes overseas coverage. If this is not the case, you will need to obtain supplemental short-term coverage for this mission trip. Please visit our church website for resources on how to pursue this avenue, and visit MTW.org for additional information on insurance requirements.


For a printer-friendly version of this Emergency Health Information Form, please see the "Short Term" tab of the Global Missions page through our church website for a complete list of resources. <www.fpcmacon.org>

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Missions Experience

Church Involvement



Community Involvement

References












Reference #2










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Missions Testimony

500 word limit
Salvation Testimony

700 word limit
Self Analysis & Spiritual Gift Assesment
God has uniquely made you and each member of this mission team for His glory. How might you be used on a mission team? Please check all that apply.



700 word limit

700 word limit

700 word limit

700 word limit

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Team Expectations
As part of a short term missions team, you agree to the following statements which represent attitudes and behaviors that will contribute to a successful, God-honoring mission trip:
Please carefully review the following expectations of a Short Term Missions Team Member.  Check the box next to each responsibility as indication that you have read and agree to execute each of them.


By typing your name above, you commit and agree to execute all of the above guidelines.

For a printer-friendly version of this Team Expectations agreement, please see the "Short Term" tab of the Global Missions page through our church website for a complete list of resources. <www.fpcmacon.org>
Parent Commitment
If the participant is a minor (under the age of 18 by the departure date of the trip), parents are required to complete this section. As a parent of a team member who is a minor, you agree to the following:
Please carefully review the following expectations of a Short Term Missions Team Member.  Check the box next to each responsibility as indication that you have read and agree to execute each of them.


Parent Signature #1

By typing your name above, you commit and agree to execute all of the above guidelines.


Parent Signature #2

By typing your name above, you commit and agree to execute all of the above guidelines.

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Travel Agreement and Release
The undersigned, hereinafter referred to as Participant, enters into this Travel Agreement and Release with First Presbyterian Church in consideration of the Church's undertaking the sponsorship and/or supervision of the above indicated trip (the "Trip") as part of the Church's Short Term Missions Program, in which the undersigned, or the undersigned's child, named below is the Participant. As an inducement for the church to undertake the sponsorship and/or supervision of the said trip, the Participant agrees as follows:
Please carefully review the following stipulations of the Travel Agreement and Release.  Check the box next to each responsibility as indication that you have read and agree to execute each of them.


By typing your name above, you commit and agree to execute all of the above guidelines.

For a printer-friendly version of this Team Expectations agreement, please see the "Short Term" tab of the Global Missions page through our church website for a complete list of resources. <www.fpcmacon.org>
Parent Commitment
If the participant is a minor (under the age of 18 by the departure date of the trip), parents are required to complete this section. As a parent of a team member who is a minor, you agree to the above guidelines on behalf of and in partnership with your child:

Parent Signature #1

By typing your name above, you commit and agree to execute all of the above guidelines.


Parent Signature #2


By typing your name above, you commit and agree to execute all of the above guidelines.

Background Check Authorization
Due to the fallen nature of the world in which we live, and our responsibility as the sponsoring Church of this short term mission trip, we require evaluation and screening of all participants in order to uphold the safety and well-being of all minors involved in the program to the best of our ability.


**PLEASE DOWNLOAD AND COMPLETE THE "BACKGROUND CHECK AUTHORIZATION FORM" on our church website (http://www.fpcmacon.org/?p=362) and UPLOAD COMPLETED FORM HERE or SUBMIT DIRECTLY TO THE MISSIONS OFFICE AS SOON AS POSSIBLE. Thank you.
Applicant Statement
I affirm that the information contained in this application is correct to the best of my knowledge. Should by application be accepted, I agree to be bound by the policies of this church and refrain from unscriptural conduct in the performances of my services on behalf of the church. I hereby authotize any references or churches listed to give you any information, including opinions they have regarding my character and fitness for mission trip participation. I authorize First Presbyterian Church and/or its representatives to make necessary background checks including criminal or police records, drivers license records and any other record check needed.



By typing your name above, you commit and agree to execute all of the above guidelines.