2006 Mission Trip Application

Kirk of Kildaire Presbyterian

467-4944 Cary, NC

 

Guatemala Mission Trip - July 15-22, 2006

 

Leaders: Linda Hale, Virginia Anthony, Jody Welker

 

Name (as it appears in your passport, including middle initial)

 

Address

 

City State Zip

 

Telephone (home) (work)

 

Fax (if available) E-mail

 

Occupation

 

Date of birth 19  

 

Note: The input fields below will expand to provide space for as much information as

you feel is necessary in order to answer the following questions:

(this form functions best with Internet Explorer 5.0 or higher)

 

1. What is your present and past involvement with the Kirk of Kildaire?

(If not a member of the Kirk, please indicate your present involvement with your own religious community.)

 

2. Why are you interested in participating in this mission trip?

 

3. What are your expectations for this trip experience?

 

4. What are some of the gifts you feel you would bring to this group experience?

 

5. In what other, if any, short-term mission trips have you participated?

 

6. Please list any previous international travel experience:

 

7. What are your skills, interests, or hobbies (such as photography) that might be useful on the trip

or in the interpretation experience after the trip?

 

8. What languages do you speak fluently?

 

9.  General Health: (select one)

 

      Do you have allergies? (select) (If yes, please explain)

      

 

      Dietary restrictions? (select) (If yes, please explain)

      

 

      Do you have physical challenges? (select) (If yes, please explain)

      

 

      Do you have emotional challenges? (select) (If yes, please explain)

      

 

 

 

Please fill in this form, and return the completed application along with $150 deposit by February 12th to:

Jody Welker or Bonnie Pendleton at the church office:

 

            Kirk of Kildaire, Presbyterian

            200 High Meadow Dr.

            Cary, NC 27511