Missions Journey Application

STUDENT MISSION JOURNEY APPLICATION
GUATEMALA 2009

An Exit 71 Student Ministry sponsored journey

Thank you for your interest in the Guatemala Mission Journey! The Student Ministry will be handling the programming and training of this journey.

We recognize that this application requires specific criteria, skills, and expectations. Please understand that the reasoning behind this is due to the quality of experience we want to offer, the limited space of the participants, and the timing of this journey.

As there are limited spots for this experience, (26 students and 4 adults) we are asking that you complete this application as soon as you know you would like to go.

Please review the following information carefully before completing and submitting this application.

PURPOSE OF THIS JOURNEY

This journey was created in partnership with the Brentwood Baptist Missions Ministry to offer a specific atmosphere where students are equipped to serve God at an international location.
We have designed this journey with students in mind, and have recruited adult leaders who know how to help students serve and grow in this unique missions setting.

WHO CAN GO

Students who have completed Grade 9 by July 29th (date of this Journey).
Students who are willing to fully participate in every aspect of the journey.
Students who meet the specific criteria and expectations outlined in the application.
Students who have graduated from the PLACE class.
Students who will have a current passport by Juley 1, 2009 (as this is an international trip).

COST

$90 Deposit – For your application to be considered, a $90 deposit must be paid online or turned in to the Student Ministry office. If your application does not meet the criteria or if your circumstances change prior to June 1, we will refund the $90. (A link to pay online is provided at the end of this application).
Balance for applicant - $1260 (5 payments of $252)
Schedule for payment: 3/29 - 4/27 - 5/25 - 6/29 - 7/27

	Contact Information
Name (of trip participant):	(required)
Street Address:
City:		ST	Zip
Home Phone :	(required)
Cell Phone:
Email:	(required)
	By selecting this box you acknowledge that the answers provided below belong to the student participant who is applying for this journey. (required)
	Spiritual Background
Name of Church:
Member?
List all Mission Journeys in which you have participated:
Why do you feel led to be a part of this team?
	Requirements
	This mission journey requires specific criteria and/or skills that each team member must be willing to participate in. By checking each box below you are acknowledging that you understand and agree to each of the requirements.
	I am capable to help with construction projects that will be guided by the adults and construction project managers on this journey. I am capable to be a peer small group leader for Guatemalan students. I am capable to lead a Guatemalan peers through discipleship conversations for which I will be trained and equipped. I am capable to follow the leadership of our team and respect their decisions. I am capable to be flexible and try new opportunities even if I am out of my comfort zone. I will have finished 9th grade by the date of this journey?
	Discipleship
Have you accepted Jesus Christ as your personal Savior? (required)
What is your story of how your relationship with Jesus began? (required)
What areas of discipleship are you involved in at Brentwood Baptist Church? (Please include Bible studies, Sunday School, Lifegroups, etc) (required)
Please provide the name(s) of your Sunday School teacher or Lifegroup leader as a reference: (required)
Summarize skills, qualifications, and other training you have acquired from church, school, employment, previous volunteer work, or hobbies and sports. (e.g.- CPR, speak a fluent foreign language, cooking, carpentry, soccer, computer/tech skills etc.)

	Personal Information
Full Legal Name :	(as shown on Birth Certificate or Passport)
Birthdate:	(mm/dd/yy)
Passport Number:	(if you do not have a passport enter "no passport")
Passport Expiration Date:	(mm/dd/yy)
Issued By:
	Medical Information
Physical restrictions:
Last Tetanus Shot (year):	(current tetanus shot must be within the last 10 years)
	Payment Agreement
	By checking the box next to the statement that correctly identifies you, you acknowledge that you are responsible for keeping that financial promise should you be selected to go on this journey.
	I agree to pay the full cost of $1350.
	Next Steps . . .
	Thank you for filling out this on-line form. Follow these instructions to submit and complete your application. 1. Submit this form. By clicking the “submit” button below, this form will be delivered electronically to the Student Ministry offices. 2. Pay your deposit. To be eligible for consideration for this journey, your deposit of $200 must be made. This can be done electronically by clicking the link at the end of this application or by bringing your deposit to the student ministry offices. Once your form and payment have been received, we will count your application complete. 2. You will receive a phone call from our ministry to let you know the outcome of your application no later than May 1. We will accept the first 20 complete applications and confirm the criteria required for this journey. (see required Criteria section of the application for details).
	By clicking Submit, you are verifying that the information provided herein is accurate and complete to the best of your knowledge.