Thank you for your interest in a First Baptist Norfolk Mission Journey. Please complete this online application. If you have any questions, please contact Sheri Bowling at sbowling@firstnorfolk.org or call 757-461-3226.
Mission Journey Location
General Information
First Name*
Last Name*
Street Address*
Address Line 2
City*
State*
Postal Code*
Home Phone*
Cell Phone
Email
Gender*	Male Female
Marital Status
Education Background
Professional Experiences
Spiritual Background
Member of First Baptist Norfolk?	Yes No
How many years?
Which Bible Study do you attend?
If not a member here, where do you attend?
Church Phone
Pastoral Reference
Have you accepted Jesus Christ as your personal Savior?	Yes No
Please give an account of your conversion experience.
List any previous short-term mission journey or volunteer experiences:
What are your gifts, skills, interests, or hobbies that may be useful as part of a mission team?
Have you been trained in Personal Evangelism?	Yes No
What languages do you speak fluently?
Personal Information
Full Legal Name as is appears or will appear on your passport*
Are you a US Citizen?	Yes No
If not, what country is your citizenship?
Your Birth Date (MM/DD/YY)*
Passport Number (if you do not have a passport, enter "no passport")
Passport Expiration Date (MM/DD/YY)
Medical Information
Do you have any physical limitations (lifting, walking) that would cause difficulty on a mission journey? If yes, please explain.
Do you have any medical or emotional conditions that might hinder you as a team member? Please explain.
Do you have any allergies (including medication)? If yes, please explain.
Do you have any dietary restrictions? If yes, please explain.
Financial Agreement
I agree to fulfill my financial obligation by making my deposit ($500 for International Journey, $150 for National Journey)	Yes No
Application Process
I agree to prepare letters of support (prayer and financial) International trips - 50 letters, National trips-25 letters.	Yes No
Thank you for completing your application on-line. When you submit this portion of the application, it will be sent to the Missions Office. You can pay your deposit by check to the missions office or you can pay online through online giving at www.firstnorfolk.org. If you have any questions, please call Karen Tucker at 757-466-5183.
By clicking submit, you are verifying that the information provided herein is accurate and complete to the best of your knowledge. Please type your initials in the box.