*YOU MUST BE A BROOK HILLS MEMBER OR SIGNED UP FOR IMPACT TO APPLY FOR A SHORT-TERM MISSION TRIP.

NOTE: Before filling out the Short-Term Mission Application please pay close attention to the following details:

• Every individual planning to go on a Short-Term Mission Trip MUST fill out an application.

• Before you submit the online portion of the application you will need to download the Application Materials pdf attached to the application. This pdf can be filled in digitally and then printed off to sign.

• Make sure that you have your passport information with you when you fill out this application.

• This application will take 45-60 minutes to complete. Once you start the application, it must be fully completed. There is no way to save your work and come back at a later time. Be prepared to answer the following questions in paragraph form:

(1) What is the gospel? (2) What is your salvation story and when were you baptized? (3) How are you currently growing in your relationship with Christ? (4) What is your current ministry involvement? (5) What type of cross-cultural short-term or mid-term mission experience do you have? (6) How are you currently sharing your faith? What is a recent example of this?

APPLY NOW

• Application Date
• Please Choose One:

  • This is my first time applying for a Short-Term Mission Trip
  • I have been on Short-Term Mission Trip with Brook Hills before and am a returning applicant

Trip Information

• Select a Trip

  • Nashville (Oct 5-8)
  • Dominican Republic (Mar 23-30)
  • Ecuador (Mar 23-30)
  • Guatemala (Mar 23-30)
  • East Asia (June 21-July 1)
  • Dearborn (June 22-28)

Personal Information

• Full Name
• Date of Birth / /
• Gender MaleFemale
• Email
• Phone Number
• Street Address
• City
• State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
• Zip Code
• Marital Status (None) SingleMarried
• Spouse's Name
• Names of Children

Emergency Contact Information

• Name
• Phone Number
• Email

Membership Information

• Please Choose

  • Member
  • Non-Member
  • Signed up for Membership Class
  • Currently in Membership Class
• Date Joined
• Are you regularly involved in a Brook Hills small group?

  • Yes
  • No
• Name of Small Group Leader

Reference Information

Please give a Reference for the Global Disciple-Making Team to contact on your behalf.

• Name
• Email

Travel Insurance Information

The Church at Brook Hills may purchase traveler’s insurance on your behalf if applicable. Please list your beneficiary for this purpose below.

• Name of Beneficiary
• Relationship

Occupation Information

• Please Choose AccountingAdministrationArtsBrook Hills StaffChristian MinistryEducationEngineering GovernmentHealth/FitnessHomemakerJournalismLogisticsManagementMedicalMusicSalesStudentUnemployedOther

Passport Information

If you do not have a passport or are applying for a passport, please enter APPLYING in the fields below.

• Name (as it appears on your passport)
• Passport Number
• Place of Birth
• Nationality
• Date of Issue
• Date of Expiration
• Authority

The Gospel & Your Testimony

Please answer the following questions in the space provided in 100 words or less.

Remember, there is no way to save your work and come back at a later time. It is advised that you type your answers in a separate document and then copy and paste them in the spaces provided below.

• What is the gospel?
• What is your salvation story and when were you baptized?
• How are you currently growing in your relationship with Christ?
• What is your current ministry involvement?
• What type of cross-cultural short-term or mid-term mission experience do you have?
• How are you currently sharing your faith? What is a recent example of this?

The information disclosed below will be read and held with confidentiality by members of the Global Disciple-Making Team and your Short-Term Team Leader. Answering yes to the following questions does not necessarily disqualify you from joining a Short-Term Team. However, in order to uphold the integrity of the individual, other team members and for the sake of the Church and gospel we ask that you carefully consider the questions below.

• Excluding minor traffic violations, have you ever been convicted of any violation of any law or ordinance?

  • Yes
  • No
• Have you ever been arrested or criminally convicted for either physical or sexual abuse of a child?

  • Yes
  • No
• Do you have any physical impairment that prevents you from physical work?

  • Yes
  • No
• Have you been under the care of a counselor or licensed mental health professional over the last 12 months?

  • Yes
  • No
• Do you have any medical issues that the Global Disciple-Making Team should be aware of?

  • Yes
  • No
• Is there anything in your life that will bring reproach on you, your family, the church, or Christ?

  • Yes
  • No
• If yes to any of the previous questions, please clarify below.

Financial Support Information

The Global Disciple-Making Team offers discounts to qualifying individuals going on a Short-Term team. These include the Team Leader, Students (those in Middle School, High School and College), families with two or more members going on the same trip and individuals in need of extra financial support.

• Please Choose One

  • Option 1: I am a team leader of this trip
  • Option 2: I am in middle school or high school
  • Option 3: I am in college
  • Option 4: I am going on this trip with another family member
  • Option 5: I have earnestly attempted to raise money for this trip but have been unable to do so and would like to apply for Financial Assistance
  • Option 6: I would not like to apply for any of the scholarships listed above

In submitting this application:

• I am expressing my agreement with The Church at Brook Hills’ Vision, Mission, Goal, Values, and Strategy, Statement of Beliefs, and Community Covenant.

• I am willing to work under the direction of the Global Disciple-Making Team and Field Partners to accept and to perform any and all assignments with a God-honoring attitude.

• I am willing to conform to the standards of national Christians, even if those standards are stricter than my own.

• I agree to be subject to a background check.

• I am confirming that I have the time and energy to devote to the pre, mid, and post-trip responsibilities.

• I agree to participate in the training arranged by the Global Disciple-Making Team and complete all requirements for the trip.

• I agree to return home at my own expense if the Field Partner, in conjunction with the Global Disciple-Making Team, determines my behavior has been inappropriate and therefore jeopardizing the long-term ministry.

• I acknowledge that The Church at Brook Hills will not be responsible for extra trip expenses (i.e., airline, hotel, etc.). Should these occur, they will be passed along to the traveler.

• I understand that my involvement on this trip can be denied prior to travel if I do not participate in the full preparation of the trip.

• I understand that my $200 deposit for this trip is non-refundable.

• Name of Applicant
• Date