CCF Beyond’s Short-Term Mission Trip (STM) Application Form Southeast Asia Prayer Walk 2025 Personal Information Name * First Name Last Name Email * Contact no. * (###) ### #### Complete Address (Present) * Gender Male Female Date of Birth * MM DD YYYY Nationality * Civil Status * Single Married Widowed Divorced/Separated Remarried Single Parent General Information Is this your first time applying for CCF Beyond's STM? * Yes No Are you applying for a specific Short-Term Mission Team or Activity? if not, indicating so means you're open to being invited to any STM teams. Have you discussed your interest to join Short-Term Missions with your family and Dgroup? * Yes No Church & Ministry Background Baptismal Year * What CCF Satellite do you regularly attend to? * Are you a Dgroup Leader? * Yes No If not, will your Dgroup Leader join with you on this trip? Yes No Dgroup Leader's name * Dgroup Leader's Email Address * Area Pastor's name * How would you describe your current spiritual condition? * Are you currently taking an active role in volunteering or ministry work? * Yes No In what ministry or volunteer work are you currently involved with? What got you interested in joining Beyond's STM trip? * How did you hear about CCF Beyond's Short-Term Missions? * Social Media (Facebook, Instagram) CCF Beyond's Website Beyond Booth Sunday Worship Service Dgroup other STM joiners We highly encourage you to discuss your plan to join a Short-Term Mission Trip with your family and Dgroup leader before proceeding with the application. * I understand Travel Insurance Name of Contact Person in-case of emergency * Relationship with contact person * Contact person's email * Contact person's mobile number * Country (###) ### #### Educational Background College / University attended Course and year graduated Skills and Employment Background Present Employer Type of work / profession * Other skill set you think might help in the mission trip (Photography, Media, Teaching, Cooking, Medical, Arts, Music, etc.) Please be specific as possible. * Medical Questionnaire Note: If some health concerns come along the way, you may be asked to submit a clearance from your doctor and may be asked not to join the Mission trip upon the leadership discretion. Thinking that this trip will focus more on hiking capacity of the participant. The participant is expected to do a 3-day hike in the mountains with less saturation of oxygen. How do you rate your general health? * Excellent Good Fair Poor Share with us your health concerns including physical and psychological concern. * Have you been sick which required you to visit a doctor or be hospitalized in at least 6 months? * Please provide details. Do you have allergies to certain food, medicines, or other things? * Are you taking any medication prescribed by your physician? * Please provide details Other Personal Details: Please answer this as truthfully as you can Have you ever been convicted of any crime in the past? * If yes, please explain briefly. Do you have any significant or outstanding financial debts and obligations? * Yes No Are there any pressing issues that you are currently facing? Please check the appropriate circle. * You may check as many as applicable. Illegal Business Dealings Church Conflict Divorce or Separation Marriage / Family issues Legal Matters Financial Issues Homosexuality Present Relationships Past Indiscretions Nothing that I know of Agreements With my best of ability, I answered the above questions completely and honestly. CCF Beyond will ensure that we are covered by a Travel Insurance during our Short-Term Missions Overseas Trip. CCF will do all humanly possible steps in protecting you from possible untoward accidents or incidents that may occur during your participation and minister to you when the need arises. However, should there be any unforeseen accidents that might happen during the Missions Trip, I agree to not hold CCF Beyond or its representatives responsible. * Yes, I agree No, I do not agree The information collected and stored will be used solely for the purpose of the CCF Beyond, which is not limited to the application and registration process during related events and activities. Changes will only be made upon the collection of updates by CCF Beyond and/ or the request of the participant. Any and all disposal of data will be carried out securely and within the timeframe provided by CCF. Information stored in a third party database system is subject to the privacy policy of CCF. The participant waives any and all possible liability upon the disclosure of personal data to CCF. * I agree with the above data privacy policy I do not agree with the above data privacy policy Thank you for your interest in joining CCF Beyond’s Short-Term Mission trip! We pray for your journey ahead as you seek God BEYOND the horizon!
