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Missions Application
Missions Application
Site Administrator
2019-09-10T16:21:36-04:00
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
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Date of Birth
*
MM slash DD slash YYYY
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
*
MM slash DD slash YYYY
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
*
Solid Rock (Poland)
Full of Love (Kenya)
Southern Asia
Other
Spring Missions Location
*
Please select
FOL
Early Summer Missions Location
*
Choice #1
Please Select
UA-SR
UA-ZP
ZAM
UGN
TNZ
KEN-FOL
CA-TUR
NEP
COL
GUA
USA-SD
Choose for me
N/A
Early Summer Missions Location
*
Choice #2
Please Select
UA-SR
UA-ZP
ZAM
UGN
TNZ
KEN-FOL
CA-TUR
NEP
COL
GUA
USA-SD
Choose for me
N/A
Early Summer Missions Location
*
Choice #3
Please Select
UA-SR
UA-ZP
ZAM
UGN
TNZ
KEN-FOL
CA-TUR
NEP
COL
GUA
USA-SD
Choose for me
N/A
Mid Summer Missions Location
*
Solid Rock (Ukraine)
Full Of Love (Kenya)
Other
Ministry
*
What ministry would you like to be mostly involved on mission this year?
Preaching
Teaching
Street Evangelism
Leadership Role
Worship
Play Music Instruments
Medical Work
Event Organizer
Work with Kids
Kitchen
Media/Technology
Photography
Videography
Record Keeping
Finances
Construction
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:
*
Drugs/Illegal Substances
Tobacco
Occult/Witchcraft
Abuse
Homosexuality
Pornography
Eating Disorder
Severe Depression
Self-Inflicted Harm
Alcohol Consumption
Addiction to videogames
None of the above
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/
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