Phone number *
Phone type Mobile Home Work Other
Gender *
Select… Male Female
Marital status *
Select… Divorced Married Separated Single Widowed
Which Missions Trip are you interested in? *
San Lucas Sacatepequez, Guatemala (Men's Missions Trip): February 25 - March 1, 2026 *Recommended Age: 18+ Cape Town, South Africa: June 25 - July 6, 2026 *Recommended Age: 18+
San Lucas Sacatepequez, Guatemala: July 15 - 22, 2026 *Recommended Age: 15+
List any medical restrictions/disabilities. *
List any medications you are taking. *
List allergies (including food) and please let us know what your typical allergic reaction is and how it is treated. *
List medical care received in the last 12 months. *
List any past illnesses or surgeries. *
Are you currently pregnant? *
Have you ever been on a missions trip before? *
Describe your relationship with God and your spiritual life. *
Why are you hoping to participate on this missions trip/team? *
Please list any other ministries you volunteer with, serve teams you regularly participate on, or current ways you are serving in the church or community.
Please include approximate dates/years
What would you say are your strengths and weaknesses?
Do you have any experience, talents, skills or passions that may be beneficial on this trip/team?
Are there any health or physical limitations that would prevent you from serving for long hours in difficult conditions?
Example of difficult conditions: hot/cold weather, rugged terrain, working with children, building/construction projects, etc.
Spiritual Development *
I understand that this journey is a gift from the Lord, and I commit to steward it well. I will put a priority on deepening my walk and intimacy with Christ during the pre-trip preparation as well as on the trip. If you agree, please sign your first, middle, and last name.
Healthy Relationships *
I agree to all requirements regarding this application, interview, payments, and training required to participate on this mission team. I understand that the training sessions are of vital importance to the success of this team and I commit to faithfully attend meetings leading up to the trip. If an unavoidable conflict occurs, I agree to notify group leaders ahead of time and seek out information I miss. I agree to participate in regular worship and Bible study knowing that my spiritual well-being and growth is a primary purpose in team participation. I commit to pray for this mission trip and team leading up to and throughout the trip. I agree to have a positive attitude and to contribute to the success of this team and trip in any way I can. I will seek reconciliation when conflict occurs with my teammates and will humbly accept responsibility if my actions or words cause disruption among the team. I will refrain from activity that causes division among team members. I will agree to the counsel and guidance of the Mission team leaders when it comes to my conduct and my behavior. I agree to a standard of conduct and ethics that glorifies God. I will respect the discipline of trip leaders if necessary. If you agree, please sign your first, middle, and last name.
Healthy Ministry *
I will refrain from any activity or behavior that might be unbecoming of a Christ follower or a stumbling block to any team member, local persons, ministry partner, or Mountain West Church. I will be sensitive to the local culture in my words, actions, and the way I dress. I will develop an attitude of service and flexibility. I will not hold Mountain West Church and any of their departments, segments, officers, agents, and employees responsible for any accident, injury or illness resulting from my visit to the field. Nor will I hold the aforementioned parties responsible for the loss of or damage to personal property while on this assignment and indemnify and hold harmless Mountain West Church from and against any and all liability occasioned by my service. If you agree, please sign your first, middle, and last name.
Financial Commitment *
Required Trip Deposits Due By Application Deadline: Guatemala $500.00 & South Africa $500.00 I understand the deposit will be held until acceptance on the Mission Team is confirmed. At that point, the deposit is non-refundable and will be counted towards the team member's total cost of the trip. Should applicant not be placed on the team, the deposit will be returned. I understand that I am financially responsible for the full trip cost and agree to raise funds as prescribed in the support-raising manual or self-fund as necessary to meet this goal. I understand that additional fees not covered by the trip cost may include but are not limited to immunizations, passports, and personal items needed for travel are also my responsibility. I affirm that Mountain West Church/Servant's Hearts Ministries/Hope South Africa has discretion and control over the use of all donated funds, and reserves the right to reallocate funds designated for my trip in the event that I am fully-funded and others on the team have a shortage. I understand and will explain donors that should I have a surplus of funds for my ministry costs, they will not be refunded but instead reallocated to other team members in need. I agree to meet fundraising deadlines as determined by the missions department, and I understand that failure to meet the deadlines may result in being unable to go on the trip. In the event that I am unable to participate in the trip I understand that all funds raised are charitable gifts and non-refundable. Cancellation or dropping out after the purchase of non-refundable advance deposits (housing, transportation, excursions, etc.) will require full payment even if you are unable to participate in the trip. If you agree, please sign your first, middle, and last name.
Authorization of Background Check *
I authorize without reservation, any party or agency contacted by Protect My Ministry, INC. to furnish the aforementioned information. I understand that I have the right to make a request to Protect My Ministry, Inc., upon proper identification, to request the nature and substance of all information in its files on me at the time of my request to include the sources of information. I hereby authorize Protect My Ministry, Inc. to request and obtain the above-referenced consumer reports at any time during the application process or during my term as a volunteer or my term of employment with Mountain West Church or as often as Mountain West Church deems necessary. If you authorize the obtaining of a background check, please sign your first, middle, and last name.
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