Uganda E-Team Application Form

Please fill this out and e-mail to Drew at

or mail to the church office:

Covenant Life Church

Attn: Drew Garfield

7501 Muncaster Mill Road

Gaithersburg, MD 20877

Name

______

Email

______

Address

______

______

Phone:

(h) ______

(w) ______

(c) ______

Sex M ___ F ___ Age ______

How long have you been a member of Covenant Life? ______

Do you plan on fundraising?

Y ___ N ___

If yes, do you have any ideas for how you are going to do this?

______

______

______

If no, how are you planning on paying for the trip?

______

______

______

Do you have a current passport?

Y ___ N ___

What do you believe are your spiritual gifts (mercy, prophesy, leadership etc.)

______

What practical skills or abilities do you have? (i.e. singing, playing an instrument, public speaking, carpentry etc.)

______

Have you experienced long, intense international travel?

Y ___ N ___

If yes, how did you respond both physically and emotionally?

______

How long have you been a Christian? ______

Please tell us a little bit about yourself (relationship with Jesus, profession, passions/interest, your family, close friends)

______

How would you describe your personality? (talkative, quiet, laid back, intense, crazy etc.)

______

Have you have any missions experience?

Y ___ N ___

If yes, where did you go and what kind of things did you do?

______

Why do you want to go on this trip?

______

______

______

______

In what ways do you see this trip affecting your life positively?

______

What ways do you think this trip might stretch you

Physically

______

Emotionally

______

Spiritually

______

Would anyone you know have any reservations about you going on this trip or be surprised at your desire to go?

Y ___ N ___

If yes, why?

______

please also fill out the medical history form