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West Valley Christian Church Kenya Missions Application

Gitathuru, Kenya

Your name *

Last name

Email address *

PERSONAL INFORMATION

All your information will be kept in confidence and will only be read by the trip leaders.

Birthday *

Gender *

Phone Number *

Phone type

Address *

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Citizenship: *

Marital Status

What size t-shirt would you wear to work in? *

Small

Medium

Large

XXL

XXXL

XXXXL

Other

What are your talents/ job skills/ unique abilities? *

What is your greatest personality strength? *

What is your greatest personality weakness? *

What role do you tend to play in a team setting: (i.e. Automatic leader, excellent follower, great follow-through person, cheerleader, etc.) *

What are your coping mechanisms when you are under extreme stress? *

How do you usually deal with difficult people or with conflict? (I.e. hold it in, retreat, initiate discussion, lash out and attack, confront calmly, etc.) *

SPIRITUAL FAITH INFORMATION

We would like to know more about your relationship with the church and God.

Baptism Date or I haven't made that decision yet: *

I joined West Valley Christian Church on this date or the name of the church you are a member of or I'm not a member of a church: *

What is your denominational background? *

In what capacities have you served in the church? *

What are your spiritual gifts? (If you're not sure would you like to take a Spiritual Gifts Test?) *

Why do you want to go on this particular mission trip? *

Previous mission trip experiences (list locations, agency and year): *

My Spiritual Walk *

Describe your relationship with Jesus Christ at this moment. Explain your journey to Jesus and what He has taught you in your Christian life. This should be more detailed than an “I came to Christ at 15 after a rebellious past” paragraph. Be honest and complete. Use another sheet if needed.

PERMISSION & MEDICAL RELEASE

Emergency Contact: *

Name & Relationship:

Emergency Contact Information: *

Phone Numbers, Email Address

Medical Information: *

Insurance Provider & Policy Number:

Immunization Records: *

I understand that there may be required shots or medications required before travel.

Medical Conditions: *

Please list all known medical conditions including allergies and any medications you are taking and/or bringing with you.

Passport Issue & Expiration Date: *

It is recommended that a passport be valid for six months beyond the date you leave the United States.

I understand that a Travel Visa is required for this mission trip to Kenya. *

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West Valley Christian Church
oasis@wvcch.org
8188846480