Feel free to Copy/Paste this into Word and then print it out at home. Applications are due February 1st to the DCC Office (45 Eberle Lane) or electronically to david@dcchurch.org. Any SHS student welcome, you don't need to be a Christian to come with us on this service trip.
Dungeness Community Church
High School
Short-Term Service Application
We at DCC are excited you are considering serving in
Mexico with us! Before we start the application process though, we would like
you and your parent(s) or legal guardian(s) to consider the level of time and
financial commitment required to attend this trip. 1) The financial cost is significant: $550+ meals to and from
Mexico. This cost can be reduced by actively participating in the DCC Youth Auction or writing support
letters. 2) Team meetings and
participation leading up to our trip to Mexico is crucial for building
relationships/trust and construction skills among the group. 100% attendance to
2 training sessions is required (March 1st
and 15th from 12-5pm at the Holloway’s) to attend this mission trip.
Students, will you commit to attending both meetings? Please
circle one: YES / NO
Signature and date:
___________________________________
Parents, do you understand that 100% meeting attendance by
your student is required to attend this service trip and that it cost $550+?
Please circle one: YES / NO
Signature
and date: ____________________________________
---------------------------------------------------------------------------------------------------------------------------
INSTRUCTIONS:
1. Please type or print clearly. If more space is needed to answer questions,
write on a separate sheet of paper
or on the back of the page.
2. Please return the completed application to
the DCC Office or Piper, by Sunday,
February 1st.
3. Only adult leaders of
the trip will see these applications. Individual
student interviews begin on February 4th.
MINISTRY LOCATION: Mexico: House building trip with Amor, March 27th
– April 4th
PERSONAL INFO:
________________________________________________ ______________
Legal Name: Last, First, Middle Date of Application
__________________________________________________ _______________ Present Mailing Address: Street, City, State, Zip Phone:
Home
E-mail Address:
_____________________________________ Cell
Number: ____________
Date of Birth:
______________________________ Age:
__________
Passport Number:
___________________________ Do you have
a birth certificate? ________
Place of Birth:
_____________________ Sex: M
F Citizenship:
_______________
Employment:___________________________________________________________________
Have you been baptized _____ Yes _____
No If so, when? _____________________
HEALTH:
The spring temperatures in
Mexico can range from freezing cold at night to smoking hot during the day.
Does your current level of physical fitness allow you to serve in these
conditions? YES / NO
1. Condition of
health (circle): poor fair
good excellent
2. List any
chronic ailments: ______________________________________________________
______________________________________________________________________________
3. Explain any
physical limitations: _____________________________________
______________________________________________________________________________
______________________________________________________________________________
4. Briefly
share your testimony by describing how and when you came to know Christ as your
personal Savior as well as your present relationship with Him. If you are not a Christian, just briefly
share your understanding of Jesus and Christianity. _______________________________
_______________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
5. What
spiritual truth has the Lord taught you most recently? ________________________
________________________________________________________________________________
_________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
6. Have you ever been on a mission trip?
________________ . If so, please list the trip(s)
7. Do you
regularly attend church? Youth group?
Explain:
___________________________________________________________________________
__________________________________________________________________________________
YOUR INTEREST IN SHORT TERM SERVICE:
8. What do you
hope to gain from a short-term service experience?__________________________
__________________________________________________________________________________
__________________________________________________________________________________
9. Why do you
want to participate in this short-term service trip?____________________________
__________________________________________________________________________________
__________________________________________________________________________________
Questions,
comments or concerns? Feel free to
write them below:
Parent Signature:
________________________________
Date:_________________________
Signature: ______________________________________ Date:_________________________
