Mission Trip Application – Rock Foundation Cambodia

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Application Date

Mission Trip Date

Name

First

Last

Phone Number

Date of Birth

Gender

Male
Female

Street Address

City, State and Zipcode

What church do you attend?

Do you speak any language other than English? Please list:

Do you have any physical limitations or disabilities that would affect you in less than ideal environments such as heat, limited food choices or an emergency?

If yes, please explain:

Do you regularly need to take medication for a medical condition?

If yes, please explain:

Have you served on a cross-cultural mission trip before?

If yes, please describe your experience:

Please write a brief testimony of your Christian walk. Include a description of your past and present relationship with Christ and how you see your future with God.

What are some of the gifts and abilities you feel the Lord has given you to share with others?

(eg. Music, spirital gifts, working with children, languages, health care, etc.)

Briefly describe how you would explain the gospel to someone hearing it for the first time.

What ministries have you served in?

What concerns or fears do you have about going on a mission trip?