MFM Teams Application (Adult - 18+) This application should only be filled out by those who are 18 years old or older. If you are filling out an application for a minor, click here. Please enable JavaScript in your browser to complete this form.Personal Information - Step 1 of 6Today's Date: *Full Name (as shown on passport): *Nickname:Mailing Address: *Address Line 1Address Line 2CityState / Province / RegionPostal Code--- Select country ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPrimary Phone: *Email: *Date of Birth: *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender: *MaleFemaleOccupation: *Passport Number (If you do not have this information, indicate by writing N/A): *Passport Expiration Date (If you do not have this information, indicate by writing N/A): *Nationality: *Please attach a copy of the picture page of your passport: Drag & Drop Files, Choose Files to Upload Do not just attach the picture from your passport. We need the entire page that contains all of your information. Airport you wish to depart from: *Have you ever been convicted of a felony? *YesNoIf YES, please explain:NextMarital Status: *SingleEngagedMarriedDivorcedWidow/WidowerSpouse Name (if married):FirstLastName of Emergency Contact: *FirstLastRelationship to Emergency Contact: *Emergency Contact Mailing Address: *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmergency Contact Primary Phone: *Name of your home church (If you do not have this information, indicate by writing N/A): *Church Address:Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHow long have you attended this church (If you do not have this information, indicate by writing N/A): *Pastor's Name (If you do not have this information, indicate by writing N/A): *Have you accepted Jesus Christ as your Savior? *YesNoIf so, when?PreviousNextHave you ever been on a Men for Missions short-term team? *YesNoIf yes, when and where:Which team are you interested in joining? *Please choose a team from the list3/21- 3/28 | Morelia, Mexico | #5834163/29 - 4/4 | Black Mountain, NC | #5834744/15 - 4/22 | Higashimurayama, Japan | #5834894/18 - 4/25 | Bogota, Colombia | #5834905/9 - 5/16 | Mexico City, Mexico | #5834705/23 - 5/30 | Armenia, Colombia | #5834446/6 - 6/13 | Mexico City, Mexico | #TBD6/12 - 6/21 | Medellin, Colombia | #5834656/20 - 6/27 | Bani, Dominican Republic | #5834606/26 - 7/5 | Medellin, Colombia | #5834666/27 - 7/4 | Bani, Dominican Republic | #5834597/2 - 7/13 | Hungary | #5834917/3 - 7/11 | Como, Italy | #TBD7/9 - 7/12 | Grand Valley, PA | #5834697/11 - 7/18 | Apartado, Colombia | #5834617/12 - 7/18 | Black Mountain, NC | #5834627/25 - 8/1 | Bani, Dominican Republic | #5834577/30 - 8/10 | Hungary | #5834928/1 - 8/8 | Black Mountain, NC | #5834938/21 - 8/30 | Londrina, Brazil | #5834809/5 - 9/12 | San Luis Potosi, Mexico | #5834849/19 - 9/26 | Valledupar, Colombia | #TBD10/16 - 10/24 | Monteria, Colombia | #58346410/31 - 11/7 | Mexico City, Mexico | #58348511/7 - 11/14 | Mexico City, Mexico | #58348611/14 - 11/21 | Mexico City, Mexico | #58348711/21 - 11/28 | Mexico City, Mexico | #58348812/4 - 12/13 | Aunon, Spain | #583471OtherIf other, please indicate reason for application here:While ministering with Men for Missions, you may not use tobacco, alcohol, or recreational drugs. Are you willing to abide by this policy? *YesNoPreviousNextName *FirstLastYOUR RESPONSIBILITY - If accepted to participate in Men for Missions you will not only be representing your country overseas, but also your Lord Jesus Christ, your local church, those who have made the mission experience possible, One Mission Society, and the general Christian population of your home country. You will be allowed into your host country by invitation of that government, the national church, and the missionary body. How you act and react to different cultural situations and other team members will cause people in your host country to form opinions about you, Christian values, and your home country. By accepting the challenge of participating in Men for Missions you are expressing your willingness to honor the authority of OMS leaders and the wishes of the national church to exemplify a cooperative spirit of love and unity. *By checking this box and typing my name below, I am electronically signing my application.FINANCES - Men for Missions will make all international travel arrangements as well as domestic lodging reservations necessary at the port of departure, and will provide all needed information regarding passports, visas, inoculations, baggage requirements, and finances. Funds received by One Mission Society for the purposes of Men for Missions may or may not be a charitable contribution, depending on the nature and purpose of the trip. However, OMS will provide an appropriate acknowledgment that funds have been received. Each ministry team participant is responsible for contacting individuals to provide his own financial support, including international and domestic travel, in-country living expenses, insurance, orientation, and departure costs. All funds must be submitted to OMS a minimum of 14 days prior to departure. OMS will provide a tax-deductible receipt to donors for those Men for Missions participants whose overseas experience qualify for tax deductions. All funds become the property of One Mission Society according to regulations governing tax receipted funds of not-for-profit organizations. *By checking this box and typing my name below, I am electronically signing my application.CONSENT AND RELEASE AGREEMENT - Foreign travel by its very nature offers an unfamiliar and unique environment in which risks of injury to both persons and property are inherent. I understand that by my participation in Men for Missions I am indicating my acceptance of these risks. I consent to and authorize One Mission Society to obtain and secure reasonably necessary medical or surgical treatment for me in the event of an emergency. In consideration of my being accepted for participation in the program, I hereby voluntarily release and agree to hold harmless and indemnify One Mission Society and each of its employees, directors, officers, and agents from and against any and all liability, claims, demands, actions, damages, expenses, and costs, including attorney's fees, loss and judgments of whatsoever kind and nature which may result from or arise out of the participation by myself, whether or not resulting in whole or in part from the negligence, acts, or my omissions, or from the acts or omissions of One Mission Society or its employees, directors, officers, and agents, excepting only such injury or damage resulting from the willful or negligent acts of such employees, directors, officers, or agents. I am aware that basic accident and sickness insurance coverage is provided as part of the program but that this insurance may not cover all situations. Furthermore, I understand that there is no personal property insurance provided through the program and that such insurance is considered a personal responsibility of each person participating in the program. *By checking this box and typing my name below, I am electronically signing my application.Name *PreviousNextApplicant's Name *FirstLastAge *Please answer the following questions. In some cases, we may require your personal physician to complete and sign a medical history form that will give us a more comprehensive understanding of your medical condition and ability to safely travel with Men for Missions. Do you have any restrictions on travel/activities? *YesNoIf yes, please describe:Are you undergoing any medical care at this time? *YesNoIf yes, please describe:Describe any physical, mental, neurological, or psychological conditions we need to be aware of (If none, indicate by writing N/A): *List any prescription medications being taken or used (If not applicable, indicate by writing N/A): *Are you fully aware of any side effects your prescriptions drugs may cause during overseas travel? *YesNoDo you have any other health related information we need to know about? (If no, indicate by writing N/A) *To see recommended and/or required immunizations for the country you are visiting, please visit http://wwwnc.cdc.gov/travel/destinations/list/ to see their recommendations “For Travelers.” Do you have any food allergies we need to know about? (If no, indicate by writing N/A) **By checking this box and signing my name below, I agree that I have no known preexisting medical conditions that would prevent me from traveling at this time. Should a condition arise, I agree to inform Men for Missions as soon as possible.*By checking this box and typing my name below, I am electronically signing my application.Applicant's Signature *PreviousNextYour testimony is very important for this ministry team, we strongly urge you to send in a short testimony. If you prefer you may give your life story. Please consider the three-point outline when writing your testimony. FIRST STEPS IN PREPARING YOUR TESTIMONY Ask the Lord to give you wisdom and guidance as you recall events and write.Prepare it in such a manner that it can be used in both large and small groups.Stay within three minutes. Three minutes with an interpreter equals six minutes.Consider your audience. Some groups may have little or no knowledge of Christ and the plan of salvation, so keep things simple.Avoid using words and phrases that may not be understood in another culture.We suggest using the following three-point outline:Describe your life before receiving Christ.How did you receive Christ?What happened after you received Christ?Good Writing Techniques:Begin with an attention-getting sentence or incidentBe concise from start to finishBe specific, giving enough detail to arouse interestBe expressive and enthusiasticInclude personal experiencesConsider one or two Bible verses, but only when they relate directly to your experience and fit in naturallyWrite a good closing to summarize your testimonyPresenting Your Testimony:Pray … then rehearse it until it becomes naturalPray … adequately express your assurance that you have received Christ and know you have eternal life.Pray … try to avoid too many non-essential statementsPray … ask the Lord to give you good verbal communication skills. Body language is also important - smile often.Pray … avoid annoying mannerisms such as swaying, playing with pocket change or clearing your throat.Pray … then have a friend evaluate your testimonyApplicant's Name: *Type Testimony Here (If you choose to upload your testimony, please indicate here by writing N/A): *Upload Testimony Here (Please keep a copy for yourself as well) Drag & Drop Files, Choose Files to Upload Date / Time *DateTimeSubmit