EXITE APPLICATION
Sign in to Google to save your progress. Learn more
Email *
Date *
MM
/
DD
/
YYYY
Name *
Address *
Phone Number *
Email *
Best way to communicate? *
Date of Birth *
MM
/
DD
/
YYYY
Year in School *
What foreign languages have you studied? How would you describe your fluency? *
Do you have any health conditions we should know about? *
Do you have any allergies? If so, what are they? *
Are you on any medications? If so, what are they? *
Please share your testimony of how you became a Christian. *
What church do you attend regularly? *
What church activities have you been involved in since becoming a Christian? *
What has led you to consider becoming a member of an EXITE team? *
Are you willing to commit to investing consistent time and energy in spiritual preparation for this trip under the direction of your pastor? *
What hobbies and leisure activities do you enjoy? *
Have you ever traveled internationally?  If so, where? *
Are you employed? If so, where? *
Have you ever participated in, been accused or convicted of, or pled guilty or no contest to any abuse or sexual misconduct? *
If yes, please explain.
Are your parents in agreement with you traveling internationally? *
Do you have a relationship with someone else applying to go on this trip? If yes, who? *
Please give names, phone numbers, complete addresses and emails of three people not related to you whom we can contact for references.  One must be your current pastor.  They will be asked to respond concerning your skills, limitations, professional judgement, ethics, or any concerns with your work. *
Please submit this completed application by February 15, 2024.  Also send the application fee of $100 in the form of a personal check or money order made payable to Grace Ministries International, P.O. Box 9405, Grand Rapids, MI 49509. Upon acceptance into the EXITE program, the fee will be applied to the cost of the trip.  If you are not accepted, the $100 fee will be promptly reimbursed.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Grace Ministries International. Report Abuse
Google Forms