2018 Application, part 1 of 3
TRIP APPLICATION, part 1
(copy and print out)
(copy and print out)
Friends Forever Ministry Trip for 2018
(attach your picture in the upper right hand corner – IT IS REQUIRED)
CIRCLE the 2018 week you are planning to participate
July 10 -17, 2018
Summer week
FFTV Media
_________________ (fill in date)
by inviation and request only
I. Tell us about yourself. (Please print legibly with blue or black ink)
(attach your picture in the upper right hand corner – IT IS REQUIRED)
CIRCLE the 2018 week you are planning to participate
July 10 -17, 2018
Summer week
FFTV Media
_________________ (fill in date)
by inviation and request only
I. Tell us about yourself. (Please print legibly with blue or black ink)
Full Name (as appears on your Passport):
Last_______________________First____________________Middle________________
Passport Number____________________________Expiration Date_________________
Mailing Address __________________________________________________________
City________________________________State___________Zip__________________
Home Phone(_______)__________________Work Phone(_______)________________
Cell Phone(_______)___________________Email_______________________________
Age requirement for the Friends Forever Ministry Trip is 16 years of age.
Birth Date_______/________/_________
Height________feet________inches Weight_________pounds (do not leave blank)
(circle one) Male Female T-shirt size: S M L XL XXL XXXL
Marital Status: Single Engaged Married Separated Divorced
Spouse’s Name_____________________________
II. Tell us who you live with . (Please print legibly)
Father/Guardian
Last Name___________________________________First________________________
Phone(________)____________________Email________________________________
Mother/Guardian
Last Name___________________________________First________________________
Phone(________)____________________Email________________________________
If parents are separated or divorced, who has legal custody?
(circle one) Father Mother Joint Others_________________________________
III. Please tell us if you have ever:
Please answer Yes or No
Been suspended or expelled from school?
Served time in a detention center or jail?
Been convicted of a crime?
III. Please tell us if you have ever – cont.
Been involved with tobacco products?
Been involved with alcohol?
Been involved with illegal drugs?
Been involved with gang-related activities?
Been involved with a cult or the occult?
Had diabetes or hypoglycemia?
Had fainting spells?
Had an eating disorder?
Had breathing problems?
Had psychiatric care?
Taken depressions or behavioral medication?
Been sexually active? (omit if married)
Been sexually active? (omit if married)
Been pregnant or fathered a child outside of marriage?
Been involved in homosexual activities?
Intentionally inflicted harm on yourself?
Attempted suicide?
Been treated for physical impairment?
Been treated for mental impairment?
If you 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 Fellowship.
IV. Complete the following in regards to your Christian faith: (Please print legibly)
Date you made a commitment to follow Jesus________/________/________
Month Date Year
Describe your current relationship with God (also use other side of application page):
Name of Home Church______________________________________________
(include city and state)_______________________________________________
Tell us how active you are in your church, and current ministry(s) you are involved with:
Tell us why you want to go on this ministry trip:
Have you been on an overseas evangelism/ministry/outreach missions trip before?____
Where & When, Date:__________________________________________
Where & When, Date:__________________________________________
Authorization:
The information I have given above to Mark Muirhead Ministries, Inc. dba Friends Forever Missionary Fellowship is accurate and true to the best of my knowledge. I agree to the responsibilities to uphold the ‘CODE OF CONDUCT’ for the missions trip week.
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.
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.
Applicant’s Signature_________________________________Date_____/_____/_____
Parent/Guardian Signature_____________________________Date_____/_____/_____
(required if applicant is under the age of 18)
The following must be received PRIOR TO December 30, 2017
(1) Application and your picture,
(2) Liability Release form, with notary seal and date
AND (3) Pastoral Reference
including a $150.00 non-refundable and non-transferable deposit
MAIL TO:
Friends Forever Missionary Fellowship, Inc. / P.O. Box 2001 / Pinehurst, NC 28370-2001
PH: 1-910-215-7777 / EM: harpmotive@aol.com