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2024 Short-Term Missions Program
Application Form
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General Information
Name
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Full Name
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Sex
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Age
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Date of Birth
*
MM slash DD slash YYYY
Do you have a Passport?
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Yes
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Country Issued by
*
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
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Bouvet Island
Brazil
British Indian Ocean Territory
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Canada
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Cook Islands
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Gabon
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Holy See
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Jordan
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Madagascar
Malawi
Malaysia
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Mali
Malta
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Mayotte
Mexico
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Mongolia
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Morocco
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Myanmar
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Netherlands
New Caledonia
New Zealand
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Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
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Palestine, State of
Panama
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Philippines
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Poland
Portugal
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Qatar
Romania
Russia
Rwanda
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Saint Barthélemy
Saint Helena
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Saint Lucia
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Samoa
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Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Passport Number
Passport Expiration Date
MM slash DD slash YYYY
If not status of VISA
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Home Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
*
Can you receive SMS texts?
*
Yes
No
Email
*
Region Attending
*
Red Hill
Central Oahu
Leeward
Windward
Metro
East Honolulu
Hamakua
2024 Country Selection Preference
Please indicate your 1st and 2nd choice.
*** The Missions Department makes the final assignments of all STM Teams. ***
Level 1
*
Hamakua
Waialua
West Oahu
Level 2
*
Bohol, Philippines
Canada
Hiroshima, Japan
Okinawa, Japan
Level 3
*
Brazil
Ireland
Malaysia
Manila, Philippines
Marshall Islands
Samoa
NOTE: Non-residents of the United States of America
will need to have a student’s visa approved by U.S. Immigration and Naturalization Service (INS).
Vision Involvement
Have you attended an Encounter?
*
Yes
No
Have you attended School of Leaders 1 Classes?
*
Yes
No
Have you attended School of Leaders 2 Classes?
*
Yes
No
Name of current Connect/Care Leader
First
Last
Family Details
Marital Status
*
Single
Married
Widowed
Divorced
Separated
Spouse’s name (if married)
*
First
Last
Would your spouse be a member of the STMP?
*
Yes
No
Children’s names & ages
Name
Age
Add
Remove
Can your family cope with STMP life?
*
Yes
No
Are you a provider of your family’s finance?
*
Yes
No
If you became a STMP Team Member, how will your family be provided for?
*
Applicant’s Profile
Are you more than 16 years old?
*
Yes
No
Have you received parental consent?
*
Yes
No
Do you faithfully attend:
Morning Church Services
Evening Church Services
Prayer Meetings
Connect/Care Group Meetings
Are you involved in missions faith pledges?
*
Yes
No
Do you currently have a boy/girl relationship or a relationship that is more than a friendship?
*
Yes
No
If yes, what steps will you be taking to ensure that this current relationship will not negatively affect your STMP commitment to the Lord’s work of missions?
*
If single, do you agree not to have any boy/girl relationships during the ministry term, whether between team members or with someone at home or on the field?
*
Yes
No
Would you be able to undertake:
A stamina building program that includes a 2-mile walk each day?
4–5 hours of evangelism?
Other daily disciplines?
Can you play a musical instrument?
*
Yes
No
What instrument?
*
Spiritual Preparation
Do you know Jesus Christ as your personal Lord and Savior?
*
Yes
No
For how long?
*
Have you been water baptized?
*
Yes
No
How long ago?
*
Have you been baptized in the Holy Spirit with the evidence of speaking in other tongues?
*
Yes
No
For how long?
*
Are you a regular attendee of First Assembly of God?
*
Yes
No
How long have you been continuously attending?
*
List any ministries you are currently involved in
Add
Remove
Missions Preparation
Medical
Do you have any pre-existing medical/psychological conditions?
*
Yes
No
Explain in detail
*
Do you take any prescription medication(s)?
*
Yes
No
List medication(s)
*
Add
Remove
Fees
a) The STMP fees are determined based upon where each team will be going. The fees covers food, lodging, training materials, airfare expenses.
b) Willing to pay 50% of STMP fees and the balance fundraised. If I am unable to fundraise the balance, I will be responsible to pay amount outstanding.
c) On commencement of the STMP, payment of US dollars as scheduled:
$150.00 — February 11, 2024
1/3 of balance — March 10, 2024
1/3 of balance — April 7, 2024
1/3 of balance — May 5, 2024
d) All fees collected are non-refundable.
Acknowledgement
*
I acknowledge the STMP fees as described above
Life Standards
As a Short Term Missions Team Member, I must live a life with standards that are taught in the Word of God. The issue is not the wrongness of a thing, but doing something we personally feel is alright that could cause another believer to stumble. Some of the things below are immoral and condemned in Scripture, while others may not be greater than some other sin, but are things that cause stumbling. Paul gave us the “law of love” regarding questionable things; 1 Corinthians 8:11-13.
As a Short Term Missions Team Member, I will to be punctual and submit to the rules set forth by First Assembly of God. It is impressed upon every team member the urgency of Salvation, the Holy Spirit, the importance of study, and the necessity of self-discipline.
You are NOT to participate if you live with a person as if you are married to them when you are not, even if no “sin” is being committed (1 Thess. 5:22).
You are NOT to participate, if you have not gained victory in manifestation over smoking, drinking, narcotics of any type, immoral sexual habits, and spouse or child abuse.
Your dress code should be such that it is not a distraction from your ministering the Word; such as ladies wearing low cut blouses, tight fitted tops and bottoms or attire that would give too much exposure. You should be well groomed at all times including keeping a mouth/breath freshener on your person. If you are going to have a beard or mustache, it should be well trimmed at all times.
If it is noticed that you exhibit unstable emotional traits according to the judgment of the leaders in charge, we have the right to refuse your request to remain in the ministry.
Remember, to be a participant is to be involved in ministry in the Body of Christ. Therefore, you should govern your life accordingly, with a life of holiness. Participation here at First Assembly of God is a privilege not a right, subject to the approval of those in charge.
You should always strive for excellence; which means you are going to minister as a professional involving commitment, time, spiritual dedication, or sometimes personal inconvenience.
Participants are subject to suspension or dismissal, if conduct is habitually out of line with God’s Word.
Undertaking
a. Compliance
I will abide by all instructions, rules and regulations stipulated by the Missions overseer of First Assembly of God and I will adhere to the entire program prepared by the Missions Leadership and will submit to the Missions overseer throughout the entire program.
In addition, I pledge to live peaceably with my Team Leader(s)/overseer and be a channel of God’s love and blessing to my fellow brothers and sisters.
In the event of any unforeseen circumstance, I pledge to adhere to the plans of my STMP overseer and First Assembly of God and all of its affiliates and they will not be held responsible for any claims or liabilities or refunds even if the trip is shortened.
b. Information Supplied:
I declare that the information provided in this form is true and complete to the best of my knowledge and that any misrepresentation or omission is sufficient grounds for discharge.
c. Agreement:
I agree to completing and complying with all or any of the requirements of the STMP for 2024, including: 7 weeks of STM Mandatory Training (Jan 28–Mar 10); Evangelism Training (Mar 30–Apr 20); Individual Team Training (weekly); Missions Conference (Feb 16–18); February/August Missions Months; Solemn Assemblies (Jan 7–14, Jun 2-9); and All Night Prayers.
Applicants Signature
*
Date
*
MM slash DD slash YYYY
If under 18 years of age parents must agree with program terms and sign below.
Parents will be required to attend meeting where STMP fees/requirements are discussed.
Father’s Signature
Date
MM slash DD slash YYYY
Mother’s Signature
Date
MM slash DD slash YYYY
*** Red Hill, East Honolulu, Central Oahu, Leeward, Metro, Windward Attendees:
To be completed by a Ministry Overseer.
Ministry Overseer Use Only
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Do you recommend this applicant at this time?
Yes
No
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Reason for rejection
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Ministry Overseer Signature
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Date
MM slash DD slash YYYY
Regional Pastor Use Only
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Do you recommend this applicant at this time?
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No
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Reason for rejection
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Regional Pastor's signature
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