Jackson, Mississippi
Middle East
Philippines
Trip Dates:*
First Name:*
Last Name:*
Date of Birth:
Married
Single
Name as it appears on Passport:
No
Yes
Passport number:
Passport expiration date:
Address:
City:
ZIP:
Home Phone:
Cell Phone:
Email Address:
Not Sure?
How long have you been attending KHC?
Sunday 11:15 am
Sunday 9:00 am
Sunday 9:00 am (Church on the Beach)
Are you fluent in a language other than English? (Please list all languages that apply.)
Please share a brief testimony of your relationship with Jesus Christ including the date and circumstance of your commitment.
What previous training in ministry or service have you had?
Which one?
Are you currently serving in other ways at KHC?
What other churches have you attended previously?
Where you involved in any ministry there? If so, who is the contact person?
What are some steps that you are currently taking to grow in your faith?
How do you feel you can contribute to this ministry?
Please list your strengths:
What fears or apprehensions do you have about being involved in this ministry?
Please list any skills or professional training you have:
Will you be able to lay aside expectations of American standards regarding personal conveniences, food, sleeping, accommodations, dress, travel, etc.?
Do you think you would have a problem with these issues? Please comment:
As a volunteer servant at KHC it is required that we all are responsive to leadership. Will you be able to submit to the leadership of KHC?
Please list any unanswered questions:
Please rate yourself from 1 to 10 in the following areas. 1 being poor and 10 being excellent.
Readiness to put aside personal comforts: 1 8 7 6 5 4 3 2 10 9
Clean and neat in appearance: 1 8 7 6 5 4 3 2 10 9
Appropriate conduct with the opposite sex: 1 8 7 6 5 4 3 2 10 9
Honesty in communication: 1 8 7 6 5 4 3 2 10 9
Common sense judgement: 1 8 7 6 5 4 3 2 10 9
Ability to control emotions: 1 8 7 6 5 4 3 2 10 9
Ability to work well with others: 1 8 7 6 5 4 3 2 10 9
Ability to lead others: 1 8 7 6 5 4 3 2 10 9
Willingness to submit to leadership: 1 8 7 6 5 4 3 2 10 9
Follow through with responsibility: 1 8 7 6 5 4 3 2 10 9
Maturity to be away from home for length of this trip: 1 8 7 6 5 4 3 2 10 9
Personal Reference #1 (Pastor or Christian Worker):
Name:
Phone:
Email:
Personal Reference #2 (Employer or Teacher):
Personal Reference #3 (Friend):
All of the above information and questions have been answered honestly and to the best of my knowledge.
Signature:*
Date:*