Mission Team Application – Mission To Haiti

Team Application

The best ability is availability. Be willing to serve wherever you are assigned. Your cooperation will bring harmony to the team and glory to God.

Contact Information
Name*
Parent/Guardian (If you are a minor)
Address*
City*
State*
Postal Code*
Country*
Cell Phone*
Home Phone
Email*
Occupation*
Age*
Gender*
Travel Information
If someone told you about Mission To Haiti, who was that person?
Which mission team would like to serve on?*
***NOTE: 8 day team fees $600 – 4 day team fees $300***
If approved, will you be traveling with other team members to Haiti?*
If you are traveling with a group, who is your group leader?
Group Leader
Cell Phone
Email Address
Skills and Training
What training, skills or special talents do you have? (Please tell us what your primary skills are and if you have any other abilities. )*
What hobbies or personal interests do you have?*
From the work teams we have, where do you feel you would like to serve? (Your work team assignment will be made based on your skills, the work teams scheduled and where you are needed the most.)*
Do you speak a foreign language, and if so which one(s)?
Medical
Do you have any medical conditions or food allergies that we should be made aware of?*
If YES, please explain
Emergency Information
In case of an emergency while in Haiti, who should we contact?
Emergency Contact Name*
Relationship*
Home Phone*
Cell Phone*
Which church do you attend?*
Are you a member?*
What do you do in your church? For Example: teach Sunday School, a greeter, sing in the choir ...
Reference Information
If needed, who can we contact as a reference for you?
Reference Name*
Relationship*
Cell Phone*
Work Phone*
More Details
Why would you like to join a mission trip with Mission To Haiti?*
Please provided us with any comments that will help us process your application.
Would you like to meet your sponsored child on the mission trip?
Child Name
Child Code

Team Application

Contact Information

Travel Information

Skills and Training

Medical

Emergency Information

Reference Information

More Details