Platform Admin Skip to content

Home Signups Groups Calendar Giving Log in

Mission Team Application

Please fill out this application to finish the Short Term Mission Trip application process.

Your name *

Last name

Email address *

Phone number

Phone type

Parent / Guardian Name (If under 18)

Parent / Guardian Phone number (If under 18)

Address

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Gender

Birthday

Emergency Contact (name, phone number, and relation to you) *

Which team are you applying to join? *

Guatemala

Tanzania

India

Central Asia

Cote d'Ivoire

Do you have a passport? *

Yes

I have applied for my passport

Name on Passport (exactly as written)

Passport Number

Passport Date of Issue

Passport Date of Expiration

Do you have any chronic illnesses, prescriptions, or allergies that may affect international travel?

Are you an active member of a local church? *

Yes, Island Community Church

Yes, another local church

No, I am not a member of a local church

Are you currently a student?

If yes where?

BACKGROUND

Please give an account of your salvation.

Please share your personal expectations for this trip.

Please share a bit as to what motivated you to pursue this trip.

What do you believe you will contribute to this trip?

Do you have any experience working cross-culturally or previous overseas ministry/mission trip experience?

If yes, please describe.

Please describe any experience you have in local ministry.

Are you involved in a community group?

If yes, which one?

Do you fluently speak any additional languages?

If yes, which languages?

REFERENCES

Please list Name and Phone number for 2 references, both from ICC, with at least one being your small group leader, discipler, or mentor. If you are not a member of ICC, please include one of your church elders/pastors and one ICC member as a reference. *

FINANCES

Are you able to cover the full cost of the trip? *

Are you committed to ensuring your trip is paid in full by the trip payment deadline? *

Yes

Are you committed to signing the Trip Contract, abide by the conduct, and submit to a sexual offender background check if you are approved for this trip? *

Yes

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Island Community Church
info@iccmemphis.com
901-300-0422

Church Center requires JavaScript to be enabled.

Here are some instructions to enable JavaScript in your web browser.