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ON MISSION FORM

JOIN THE TEAM

ON MISSION TEAM FORM

    We are excited that you are interested in serving at Regenerate Church. Please complete the application below and we'll contact you shortly.

    Full Legal Name *

    Gender *

    MaleFemale

    Address *

    City *

    State *

    Zip code *

    E-mail *

    Phone*

    Birthday *

    School

    Parent(s) names or legal guardian (if under 18)

    Do you have any problem with the following? If yes, please explain:

    Food

    Traveling

    Are there any physical conditions that would hinder you from participating or is of a concern? *

    YesNo

    If yes, please explain:

    Do you have any allergic reactions or take medications? *

    YesNo

    If yes, please explain:

    Do you have a passport? If no, please apply for one immediately *

    YesNo

    Do you have your birth certificate? *

    YesNo

    How many years have you been a Christian? *

    Is Regenerate Church your home church? *

    YesNo

    Which Regenerate Campus do you attend?

    How many years have you attended Regenerate?

    Please explain how you became a Christian: *

    What churches have you been a part of and for how long? *

    Do you agree and hold to the same doctrine of Regenerate Church? *

    YesNo

    Do you believe the bible is the inspired and authoritative Word of God? *

    YesNo

    Do you currently have any struggle with substance abuse or addictions? *

    YesNo

    Please explain why you are interested in going on this mission’s trip: *

    Have you ever been on a previous missions outreach with Regenerate Church? *

    YesNo

    If yes, where?

    Have you had any previous experiences in missions with any other church or organization? *

    YesNo

    If yes, where?

    Have you ever served in any area of ministry before? *

    YesNo

    If yes, please explain:

    REFERENCES*

    Reference #1

    Reference #2

    EMERGENCY CONTACT*

    The information contained in this application is correct to the best of my knowledge. I authorize any references listed in this application to give you any information that they may have regarding my character and fitness for missions.

    On this trip, I will submit to the leadership of Regenerate Church. And if my application is accepted, I understand the influence my private life can have on others and therefore I will keep my life as an open book and be honest to the leadership.