Application to Participate in a Bethany Community Church Short-Term Missions Trip	
Applicant Name      	Date      	
Address      	Email      	
Home #:      	Cell #:      	
Do you have any medical concerns or limitations?      	
Team leader:      	T- shirt size:      	
Trip Destination:      		
Trip start date:       Trip end date:      	
		For foreign travel only:	
Exact passport name:      
Passport #:      	Expiration date:      
Country:      	
Please write out your testimony below. Be sure to include the following: your life before trusting Christ, how you came to understand the gospel and trust Christ as your Savior, and how Christ has changed your life.      	
Describe your current relationship with God and your personal devotional life.      	
Have you experienced believer’s baptism?          When:      	
Are you a member of a church?           
If other, name of church:          and city:       	
How long have you attended?      	
How are you in involved in ministry at your church?      	
Have you had any short or long term mission experience?      	
If so, please describe your experience:      	
Why do you want to take part in this short term missions experience?      	
If known, what part will you play in this experience?      	
Using appropriate Scriptures, how would you lead a friend to a saving knowledge of Jesus Christ?      	
In what ways have you been helping others to accept Christ as their Savior?      	
Are you willing to report about your mission trip experience to the Missions Committee and to the church?      , if no - please explain:      	
Is there anything else we should know in considering your application?      	
List two Christian references (other than members of the Missions Committee or Pastoral Staff):	
Name:      	Name:      	
Address:      	Address:      	
Phone:      	Phone:      	
Relationship:      	Relationship:      	
Please email to Jason Getz (jasonrg7@outlook.com) as soon as possible.