Missions Application

Missions Season

Missions Season*

Spring
Early Summer
Mid Summer
Winter

Personal Information

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Birth*

Gender*

Male
Female

Email*

Enter Email Confirm Email

Mobile Phone*

Home Airport Code(s):*

Please provide your preferred departure/ return airport if known, and multiple if more than one airport is available. This will help with coordinating flights with other participants.

Viber Name*

Mandatory: If you do not have an account, please download the Viber App on your phone. This will be used as the primary communication channel.

Emergency Contact

Emergency Contact Name*

First Last

Emergency Contact Phone Number*

Relationship to Applicant*

Citizenship and Residency

Citizenship*

USA Citizen
USA Permanent Resident
Other

Other Citizenship*

Passport*

No Passport
USA Passport
Other

*Passports must be valid for 6 months after final day of travel

Other Passport*

Passport Expiration Date*

Graduation Status

Graduation Term*

IDT Graduation Status*

Current Student
Graduate
Did not attend

SMBS Graduation Status*

Current Student
Graduate
Did not attend

TBS Graduation Status*

Current Student
Graduate
Did not attend

Missions Experience

Are you planning on going on missions with SMBS at this time?*

Yes
No

If not, please explain*

Is this your first time on a Mission Trip with SMBS?*

Yes
No

If not, which nations and terms?*

Hidden

Winter Missions Location*

Please choose desired location:

Kenya
Ukraine (Solid Rock)
Ukraine (Christian Missions New Life)

Winter Missions Location*

Spring Missions Location*

Early Summer Missions Location*

Choice #1

Early Summer Missions Location*

Choice #2

Early Summer Missions Location*

Choice #3

Mid Summer Missions Location*

Ministry*

What ministry would you like to be mostly involved on mission this year?

Family Background

Parents Name*

First Last

Parents Email*

Parents Phone*

Relationship with parents*

Please describe

Parents’ level of faith and understanding of missions*

Home Church

Church Name*

Pastor’s Name*

First Last

Church/Pastor’s Phone*

Church’s understanding of missions*

Pastor’s understanding of frontier missions*

(frontier missions: unreached areas - people that have not heard the Gospel)

Work History

Please list your current and prior jobs*

Health

Do you currently have any of the below immunizations? ( Some nations require/ highly recommend specific immunizations for entry). [ Select all that apply ]*

Covid 19
Hepatitis A
Typhoid
Yellow Fever
None of the above
Prefer not to answer

In the past 12 months, have you experienced:*

If you marked "Yes" to any of the above, please explain when and the duration

List any present or past health conditions if applicable*

List any known allergies*

List all medications that you currently take*

Testimony

Please describe any ministry experience you have*

Please describe in detail your prior mission experience (or mission specific training)*

Please explain to us the environment in which you grew up*

Please describe in detail how you were saved and how your life changed*

Please describe in detail why you have decided to go to missions this season*

Please complete your spiritual giftings test via link below and write your results in order (separate by commas)*

SPIRITUAL GIFTINGS TEST: https://giftstest.com/