TRIP APPLICATION, part 1
Ministry Trip for 2016
(attach your picture in the upper right hand corner – IT IS REQUIRED)
CIRCLE the 2016 week you are planning to participate
June 21 - June 28, 2016
Summer week #1
School Outreach Week
July 5 - 12, 2016
Summer week #2
Vacation Bible School Week
July 12 -17, 2016
Pastors & Friends Get Away
OTHER (fill in date on line below)
I. Tell us about yourself. (Please print legibly with blue or black ink)
Name (as appears on your Passport):
requirement for the Friends Forever Ministry Trip is 16 years of age. 2016
trip exceptions for traveling under the age of 16 years old are those
traveling with a parent only. There is a ‘grandfather clause’ for travelers
from 2014 - 2015 trips only for those still under age 16.
Height________feet________inches Weight_________pounds (do not leave
one) Male Female T-shirt size: S M L XL XXL
Status: Single Engaged Married Separated Divorced
II. Tell us who you live with
(Please print legibly)
parents are separated or divorced, who has legal custody?
(circle one) Father Mother Joint
III. Please tell us if you have ever:
Please answer Yes or No
suspended or expelled from school?
time in a detention center or jail?
convicted of a crime?
III. Please tell us if you have ever – cont.
involved with tobacco products?
involved with alcohol?
involved with illegal drugs?
involved with gang-related activities?
involved with a cult or the occult?
diabetes or hypoglycemia?
depressions or behavioral medication?
Been sexually active? (omit if married)
pregnant or fathered a child outside of marriage?
involved in homosexual activities?
Intentionally inflicted harm on yourself?
treated for physical impairment?
treated for mental impairment?
answered “Yes” to any of the above, please give a complete explanation on a
blank separate sheet of paper. Please know your answers are confidential with
the senior staff and Board of Directors of Friends Forever Missionary
IV. Complete the following in regards to your Christian faith:
(Please print legibly)
made a commitment to follow Jesus________/________/________
Month Date Year
your current relationship with God:
Name of Home Church______________________________________________
city and state)_______________________________________________
how active you are in your church, and current ministry outreach(s) you are
why you want to go on this ministry trip:
been on an overseas ministry/outreach missions trip before?____
Where & When, Date:__________________________________________
information I have given above to Mark Muirhead Ministries, Inc. dba Friends
Forever Missionary Fellowship is accurate and true to the best of my
to the responsibilities to uphold the ‘CODE OF CONDUCT’ for the missions trip
I give Mark Muirhead Ministries, Inc. dba Friends Forever Missionary
Fellowship the right to use my picture, video taping and/or audio taping of me
for broadcasting on Friends Forever TV and/or Around The World Radio and/or
for promotional and/or advertising purposes.
My enclosed signature (and signature of my parent or legal guardian because I
am under the age of 18) signifies my approval.
(required if applicant is
under the age of 18)
The following must be
received PRIOR TO December 30, 2015
(1) Application and your
(2) Liability Release
form, with notary seal and date
AND (3) Pastoral
including a $150.00
non-refundable and non-transferable deposit
Missionary Fellowship, Inc. / P.O. Box 2001 / Pinehurst, NC 28370-2001