ONE-WAY EVANGELISTIC MINISTRIES110 E. 17th Street, Suite 201, Cheyenne, WY 82001(307) 433-8914, email- onewayevangel@yahoo.comMission Trip Location & Date:__________________________________________________________Name ___________________________________ Date of birth _____________________Address______________________________________________ Phone: (_____)_______________email: _________________________________________ Cell Phone: (_____) _______________Marital status: single / engaged / married / widowed / separated / divorcedHow do you rate your present health? excellent / good / fair / poorexplain: _____________________________________________________________________________Emergency contact: _____________________________ Phone: (_____)____________________List all schools attended-including high school, Bible Institute, college, seminary, or any secular schools: ______________________________________________________________________________________________________________________________________________________________________What church do you attend regularly? Name:_______________________________________________Address______________________________________________ Phone: (_____)________________Denomination __________________________ Pastor_______________________Musical ability: Do you sing? _______ Solo ______ Group ________What musical instruments do you play?__________________________________________________________Drama experience: a lot / some / little / none Describe: _________________________________________Speaking ability: Have you engaged in public speaking? ______ If so, in what types and how often?(preaching, speeches, testimonies...) ______________________________________________________ In what type of ministry capacity do you desire to serve? teaching / testimonies / witnessing / drama / singing / instrumental / puppet ministry / counseling / other: _________________________________ In which Christian activities have you participated? visitation / tract distribution / camp (cabin leader or camper) / evangelism (gospel teams, street meetings) / VBS / other: _________________________________________________________________________________________________________________With what ages do you have experience teaching or witnessing? _________________________Have you ever led anyone to Christ? ________Briefly tell how and when you became a Christian and what Jesus Christ means to you. ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________What are your personal habits of prayer and Bible study? ____________________________________________________________________________________________________________________Why do you want to be part of this mission trip? _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________What are your expectations for this mission trip? _________________________________________________________________________________________________________________________________________________________________________________________________________________How do you anticipate to fund your ministry? _________________________________________________Are you currently employed? ______ By whom? _____________________________________Supervisor _______________________ Phone__________________________If accepted, will you put forth every effort to live congenially & work harmoniously with co-laborers and beresponsible to your mission leaders? _____________Signature: ____________________________________ Date: _________________________If minor, Signature of parent or guardian: ________________________________ Date: ______________$25 nonrefundable deposit due with application. ___________ received on ____________Please attach additional pages to further explain answers to any question.