Short-Term Team Application Form

Trip Information
Which team are you applying for?*
$100 application fee is required upon submission of this form.
- Empowering Missions // Kenya
- Immersive Missions // Arizona, USA
- Practical Missions // Germany
I would like to contribute more than the $100 application fee.
Please add the additional amount here. This will be applied to your account.
Short-Term Team Application Fee - Arizona: Immersive Missions*
Price: $0.00
Short-Term Team Application Fee - Kenya: Empowering Missions*
Price: $0.00
Short-Term Team Application Fee - Kenya: Medical Missions*
Price: $0.00
Short-Term Team Application Fee - Guatemala: Next-Gen Missions*
Price: $0.00
Short-Term Team Application Fee - Germany: Practical Missions*
Price: $0.00
Short-Term Team Application Fee - Canada: Simple Missions*
Price: $0.00
Personal Information
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Birthday*
MM slash DD slash YYYY
Age on trip (use lower age if birthday is during trip)*
Please note that if your 18th birthday occurs during the trip, you will need to apply as a minor.
Previous legal name(s)*
Have you ever gone by another name? This information will be used to conduct a criminal background check.
Parent email address(es)*
Please enter one or more email addresses for your parent(s) so that they are included in all communication regarding this trip.
Full legal name*
This will be used to book your flight (if applicable) or run a criminal background check (if you are 18+ and live in Pennsylvania).
First Middle Last
Sex*
- Female
- Male
Current Church*
Pastor's Name*
How are you serving or have served in your church?*
Training/Experience
- Sing on worship team
- Drama/mime/dance
- Puppet ministry
- Can carry 50 pounds
- Work with sound equipment
- Children's VBS
- Sports/althletics
- Manual labor
- Play an instrument (see below)
- Youth/teen ministry
- Photography/Videography
- Other (see below)
Additional info for training/experience
If you checked "instrument" or "other" in the question above, please enter more information here.
Name of Reference*
Ideally, we would prefer your lead elder to complete your reference. If your pastor does not know you very well, you may ask someone from your church who knows you well, like an elder or your small group leader. Please make sure you have downloaded the packet of additional documents at the top of this page, which includes a reference form. DMI will not contact your reference for you.
First Last
Agreements
Child abuse clearance document*
Instructions on how to obtain your child abuse clearance certificate will be emailed to you upon submission of this form.
- I will obtain a child abuse clearance document from my state and forward to DMI.
Please select to agree.*
- I will submit 50% of the total cost of the trip at least four months prior to travel.
Please select to agree.*
- I will submit the remaining amount due at least two months prior to departure. (Please note that the final cost of the trip may change, depending on the cost of flights at the time of booking.)
Please select to agree.*
- I understand that immunizations are not part of the team cost and that I am responsible for paying these costs, no matter whether the immunizations I receive are recommended or required for entry into the country I am applying to serve in.
Passport Information

If you do not have a current passport, or your passport expires six months or less after your trip, please apply for a new one now.
Are you a US citizen?*
- Yes
- No
Where is your citizenship?
Do you have a passport that expires at least six months after the trip is over?*
- Yes
- No
Photo of passport*
Please upload a photo of the information page of your passport that clearly shows your name, photo, passport number, and expiration date.
Accepted file types: jpg, png, pdf, Max. file size: 16 MB.
Please select to agree.*
- I will obtain a passport and forward a photo of the information page to DMI@dcfi.org as soon as possible.
Medical Information
Name of health insurance carrier
Phone
Name of policy holder
First Last
Policy number
If you have any medical or physical limitations that may affect your participating in any activity, please describe below. Leave blank if none.
Are you able to walk one mile?*
In many places around the world, people walk a more than we do in our everyday life. We want to make sure our applicants know what to expect in terms of physical activity.
- Yes, no problem
- Yes, with a few breaks
- It would be somewhat difficult, but I could manage.
- I don't think I could.
Are you able to do activities that require moderate exertion?*
- Yes, no problem
- Yes, with a few breaks
- It would be somewhat difficult, but I could manage.
- I don't think I could.
What is your height and weight?*
Check the boxes of any condition that applies to you.*
- Allergies
- Hay fever
- Dizziness or fainting
- Asthma
- Heart trouble
- Epilepsy
- Diabetes
- Pregnant
- Operation within the last year
- High blood pressure
- Respiratory problems
- Bee/Wasp allergy
- Physical disability
- Allergy to any medications (please describe below)
- Dietary restrictions or food allergies (please describe below)
- Other (please describe below)
- None of the above
Description of any of the above conditions, including food allergies or specific dietary restrictions
Do you currently take any medications?*
- Yes
- No
Please list the medications and the condition being treated.*
Please select to agree.*
- I consent to emergency medical treatment deemed necessary in the unlikely event of an accident. I will pay for any and all expenses incurred should insurance not cover them. I also release DOVE Mission International, the host ministry and staff from any liability resulting from any accident or illness.
Emergency contact 1*
First Last
Relationship to you*
Best phone number*
Email*
Emergency contact 2*
First Last
Relationship to you*
Best phone number*
Email*
Written expression

We want to get to know you! Please answer the following questions.
Why have you chosen to participate on this team?*
Do you have any training that would be applicable to this team?*
What can you contribute to this team?*
How do you plan to cover the finances of this trip?*
How long have you been a Christian? How is God working in your life now?*
How did you hear about this short-term team?*
- Recommendation from a friend
- Church announcement
- DMI website
- Facebook
- Instagram
- Flyer
After clicking "Submit," you should be redirected to a PayPal payment page. If you are not redirected, your application may have missing information, which will be highlighted in red.
Applicant's signature*
By signing below, I attest that all of the information provided in this application is correct to the best of my knowledge.
Comments
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