If you are interested in being a partner on a future T.I.M.E. Mission trip, please complete the Volunteer Missionary Application Form  (If click on the hyper-text and open the form, you can add your personal information.) and return it to the T.I.M.E. office by mail or email to Larry Wright at ldwright@timeministries.com or Charlene at info@timeministries.com

 SAMPLE:

Team Member Information Form      

Mission Destination:_______________________________________

Mission Date: ____________________________________________                                            

GENERAL INFORMATION:

Name as Shown on Passport: __________________________________________

Date of Birth: (mmddyy)______________________________________________

Address __________________________________________________________ Apt/Suite__________________________

City______________________________ State__________ Zip or Country Code____________

Phone Numbers: Home:_________________ Cell: _________________ Work: _____________

E-mail Address: ________________________________________________________________

Passport Number:_____________________________ Expiration Date: ____________________

Is your passport issued by the State Department of the USA?  _____ Yes       _____ No

If your answer is NO, what country issued your passport? _______________________________

Name of person you want listed as the beneficiary on the Travel Insurance: _____________________________ Your Relation to that person: ________________________________________________________________ Person to contact in case of an emergency: _________________________________________________________________  Phone Numbers: _____________

Roommate Preference: ___________________________________________________________

MEDICAL INFORMATION:

Do you have any special medical needs?   ______ Yes      ______ No

If YES, please explain: _________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

BACKGROUND INFORMATION:

What church are you a member of? _______________________________________________

Is this your FIRST International Mission Trip?   ______ Yes         ______  No

If NO, where have you been previously? ___________________________________________

____________________________________________________________________________