Calvary Church - c4

Drinking Deep of Christ Flowing to Others From Campuses to Continents

Schedule @ a glance

C4 Tuesday Night

7:30 P.M. - 9:00 P.M.

Mar 16 7:30 pm

Mar 23 7:30 pm

Mar 30 7:30 pm

Apr 6 7:30 pm

C4 New York Application

Please fill in all of the boxes and double check that all information is correct before submitting this form.
(You may hit Tab to select the next box, or Shift+Tab to go back one box)

NOTE: The application takes about 20-30 minutes to complete. You cannot begin it, save it and then complete it at another time. Please complete the full application when you can do it in one sitting. Please be ready to input insurance information (if you have it) at the end of the form.

Personal Information:
Your Name:

Age: Phone:

Email:

Are you on Facebook? If so, what is your Facebook name?

Address:

Home Church:

Where do you attend school or work?

Please Answer the Following Questions:

1a. Are you a Christian?

1b. Tell us about your personal story of how you came to have faith in Christ:

2a. Have you ever had any short term or long term missions experience?

2b. If yes, please explain the trip name, dates, location, and your part on the team. Also, summarize the experience and how it affected you:

3. Why do you want to serve on this team?

4a. What are your strengths? How could they help this team?

4b. What are your weaknesses? How could they hinder this team? (Please write at least one weakness)

5a. What activities or experiences have helped your spiritual growth in the past year?

5b. Are you currently serving in any ministries, either at Calvary or another church?

5c. If yes, please briefly explain your involvement and role in the ministry(ies):

6. What do you think is the purpose of a Christian in the world today?

7. List the names of some books (other than the Bible) you have read which have contributed to your spiritual growth:

8. List a verse or a passage of scripture that has significant meaning to your life, and state why:

9. As best you know, describe your future plans for involvement in missions:

10. Please rate yourself in the following areas, using your life experience as a comparisson:
(5=Great, 1=Needs Improvement)

Relationship to the Lord	Respect for Authority	Sense of Responsibility
Flexibility/Adaptability	Sensitivity to Others	Servant′s Heart & Attitude
Leadership Potential	Positive Attitude	Ability to Work Hard
	Ability to get along with Others

11. Briefly describe your future plans as best you forsee:

12. Are you currently sharing your faith with any friends or family members?

13. Are your parents supportive of your decision to go on this mission trip?

14a. Do you have scheduling conflicts that could prevent you from being on this team, participating in all the training meetings, or being part of the auction?
14b. If Yes or Not sure, Please explain:

Getting to know you. What is your favorite...
15. Music Group or Artist?

16. Food?

17. TV Show?

18. Book of the Bible?

19. Author?

20. Sports Team?

Medical Information:

Are you under a physicians care?

If "yes" please explain:

Do you have any allergy or medication requirements?

If "yes" please explain:

Will you be covered by a health insurance program during this trip?
Name of Company : Policy #

Once you are accepted to this trip, we ask that a personal contribution of $100 be made towards your trip by the first Training Meeting, March 26, 2010.

I (Your Name) , agree that all of the information here is correct. I do, hereby, acknowledge that filling out this form does not guarantee my involvement on any Calvary Mission Trip, but filling out this application does get me one step closer. All information in this form is truthfully and honestly filled out to the best of my knowledge.

I agree to the personal responsibility of funding my trip. I understand that will take place through my own personal contribution, the Student Ministry Auction and asking others for support.

Please check here to confirm that you have read this and agree to it:

When finished, please click the submit button below ONLY ONCE, then wait for it to be processed. You will be redirected to a message confirming the submission. You will be directed to obtain both a parent reference and a general reference from someone in authority over you. You will need to email your references a link to the form.

Thank you,