Team Member Application

Please complete this application form for any FAI short term mission team you're considering participating with. All information is confidential, will not be shared with anyone else. This form will be kept on file at the FAI office in the USA only. All references will be contacted for their recommendation.

Full Name:
E-Mail:
Address:
City:
State:
Zip:
Phone Number:
Country (if not U.S.):
Social Security Number:
Age:
Height:
Weight:
Sex: Male   Female
Passport Number (if you have one):
Issue Date:
Expiration Date:
Where was it issued?:
What is the name of the church you attend:
Street address of your church:
City:
State:
Zip:
Church Phone Number:
Name of your Pastor or Church Leader:
Have you been on an overseas mission before?:
If so, where?:
If so, with whom?:
What kind of ministry in Ukraine are you interested?:
What gifts do you feel you flow in?:
What talents do you feel God has given you?:
What ministry experience do you have (if any)?:
We need references from 3 adults, (21 or older). Please list Name, Address, Phone number, Relationship to you and how long they've known you. Reference #1:
Reference #2:
Reference #3:
Please list any physical limitations and/or medications:
Any additional comments or questions?