Professional Documents
Culture Documents
Application
CHECKLIST:
Application
Questionnaire (there are 2. Make sure you do the correct one.)
Schedule Interview with Jenna
Code of Conduct
Parent Conduct Agreement (1 required from each parent)
Financial Memo
Medical Release
Copy of Insurance Card
Signature of Experience Training
Non-Refundable Deposit of $50
IMPORTANT DATES:
March 1st, March 5th Mission Trip Launch Parties
March 1st 6:30pm at St Luke UMC
March 5th 3:00pm at Davis Memorial UMC
March 12th Last Day to Apply For Mission Trip
March 12th 23rd Interviews
March 24th 25th Spring Retreat (suggested for Mission Trip attendees)
April 2nd First Payment Due*
April 30th Mission Trip Parent Meeting
May 7th Final Payment Due*
May 14th Last Day to Pay (also Mothers Day)
May 20th Mission Trip Boot Camp 11am 4pm (required for 5 th grade, 6th
grade, and first timers. Suggested for all others.)
June 2nd -3rd Youth Lock-In at Davis Memorial UMC
June 5th 11th Mission Trip 2017!!!!
Mission Trip Application
Full Name: _______________________________________________
Preferred Name: ________________________________________
Date of Birth: __/___/___ Age (as of June17): ___ Grade 16-17 school year*: _______
Address: _____________________________________________________________
_____________________________________________________________
Phone Number: ___________________ Email: _____________________________
T-shirt (Adult) Size: XS S M L XL XXL 3XL 4XL Home Church: SLUMC DMUMC
SSN: _____________________________ Gender: ______________
Parent Name(s)*: _______________________________________________________
Parent Phone Numbers*:
__________________________________________________
Preferred Parent Email*: __________________________________________________
Number of Mission Trips I Have Attended: ______ Number CTCYM Trips: _______
In case of emergency, contact: ___________________________________
Phone: ________________ Email: _________________________
Are you able to:
1. Lift objects up to 50lbs Y N
2. Be on your feet for long periods of time Y N
3. Interact with people of different experiences Y N
4. Control your tongue Y N
5. Love people you dont know Y N
6. Refrain from judgement of others Y N
7. Refrain from arguments with others Y N
8. Behave yourself in public situations Y N
Additional Information:
4. What is the most important thing God has done in your life lately?
3. If you have a youth child, how have THEY been impacted by God this past year?
4. What do you hope God will do this year during the mission trip?
On a scale from 1-10 (1 being not at all, 10 being completely), how comfortable are you:
With your knowledge of the Bible?
With your relationship with God?
With your relationship with Jesus?
With leading lessons for youth?
With leading lessons for adults?
With praying aloud for youth?
With praying aloud for a mixed group?
Praying with someone one-on-one?
Working with people who suffer from mental illnesses?
Supporting a youth who is LGBTQ without judgement?
Working with LGBTQ adults without judgement?
Helping a youth who shares something deep with you?
Listening to and following the instructions of the youth director?
Listening to and following the instructions of a young adult?
We require that each participant attend at least 1 of these trainings and get the
signatures of the persons in charge of the event. (see Mary Stauffer for details. 817-
832-0029). If you are unable to attend any of these trainings, we ask that you get in
contact with Mary Stauffer to discuss other ways to get experience in working with this
population prior to the trip. You will not be able to participate in the trip without this
documentation.