MissionsMissions Application forShort Term Funding "*" indicates required fields Section 1Personal InformationName* First Last Name (adl.) First Last Additional Name add Children's Name(s) (if applicable) add Child 1 First Last Child 2 First Last Child 3 First Last Child 4 First Last Child 5 First Last Child 6 First Last Phone*Email* Home Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Background InformationChurch Involvement I am a member of New Hope Community Church. I attend New Hope Community Church. I am participating in a mission trip organized by NHCC. Other Your Home ChurchLength of time you have attendedAreas of Christian ministry in which you have been involved within and/or outside your church in the last 3 years.Any prior short term missions experience?Any prior or current connection with New Hope Community Church?How and when you became a follower of Jesus, and the impact that has had on your life:Mission Trip InformationPlease provide the following details about the mission trip in which you plan to participate. (Note: If you have a brochure, letter or other document that provides some or all of this requested information, you may include it with this form. In which case, please write, “See attached document” for the relevant items below.)Upload Document(s)(If available/appropriate) Drop files here or Select files Accepted file types: jpg, jpeg, png, pdf, Max. file size: 50 MB. Ministry / Church NameMinistry or church organization you are traveling with or under the auspices ofWebsite Ministry Contact NameTitleEmail Ministry Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Trip DestinationAre the trip start date and end date known? Yes No Other Trip Start Date MM slash DD slash YYYY Trip End Date MM slash DD slash YYYY Tell us more about the Start and End dates:How many people will be traveling with you?The purpose of the trip and the type of ministry in which you will be engaging:The people to whom you will be ministering:How this trip will serve to advance the Gospel:Your personal goals for participating:Total CostThe total cost of the trip, including transportation, immunizations, insurance, accommodations, visa/passport fees:Funded CostHow much of the costs have you raised thus far?Request AmountHow much are you seeking from New Hope?Have you received short term missions funding from New Hope before? Yes No If so, what have you received funds from New Hope for?ReferencesPlease select one or more of the following persons that we can contact as a reference: Pastor Church Leader Church Member Other Pastor Name (Reference) First Last Pastor Title (Reference)Pastor Phone (Reference)Pastor Email (Reference) Church Leader (Reference) First Last Church Leader Phone (Reference)Church Leader Email (Reference) Church Member Name (Reference) First Last Church Member Phone (Reference)Church Member Relationship (Reference)Other (Reference) First Last Other Phone (Reference)Relationship (Reference)Applicant Photo Upload(If available/appropriate)Accepted file types: jpg, jpeg, png, pdf, Max. file size: 50 MB. Section 2Understandings and CommunicationAs a condition of receiving funding from New Hope and participating in this short-term mission trip I understand that I must submit a brief report to the New Hope Missions Committee using the attached form within 2 weeks of completing the trip. Yes, I understand. Other I must recruit at least 5 people to pray daily for me while I am on the trip. The names of those 5 people are: Yes, I understand. Other Name First Last Name First Last Name First Last Name First Last Name First Last I must confirm that I hold to the beliefs in New Hope’s Statement of Faith below Yes, I understand. Other Statement of FaithNew Hope Community Church’s Statement of Faith: (Alignment with these doctrinal positions is required for mission support.)WE BELIEVE IN ONE GOD - FATHER, SON, AND HOLY SPIRIT. WE BELIEVE IN GOD THE FATHER ALMIGHTY, CREATOR OF ALL THINGS VISIBLE AND INVISIBLE. WE BELIEVE IN JESUS CHRIST, THE SON OF GOD, THE ETERNAL WORD, THE ONE AND ONLY SAVIOR. Who was conceived by the Holy Spirit and born of the Virgin Mary, both fully human and fully divine; Who lived a sinless life; Who suffered and was crucified as an atonement for sin; Who rose again bodily from the dead on the third day; Who ascended into Heaven; and Who will return in victory to rule forever. WE BELIEVE IN THE HOLY SPIRIT. Who convicts of sin; Who indwells every Christian; Who helps us in our weakness and intercedes for us in prayer; Who empowers us to a fruitful Christian life. WE BELIEVE IN THE BIBLE - GOD'S HOLY WORD, SCRIPTURE. We believe God inspired the original writings of the Scripture and those original writings were consequently without error. We believe that the Bible is the final authority for all matters of faith, truth, morality, and Christian living. We believe the Bible teaches that God is the Creator and Sustainer of human life; that God creates each person in His image; and that life is, therefore, sacred, from conception to natural death. WE BELIEVE IN SALVATION BY GRACE THROUGH FAITH IN JESUS CHRIST ALONE. We believe in the Gospel - the Good News of Salvation. That man, created by God, willfully sinned against God and is consequently lost and without hope apart from Jesus Christ. That salvation - the forgiveness of sins - is only by grace through the blood of Jesus Christ. That one receives salvation by putting faith in Christ, repenting of sin, and confessing Christ as Lord. That those who have received salvation through faith in Jesus Christ are sent into the world to proclaim the gospel and love and serve the world just as Jesus Himself did. Doctrinal Alignment Confirmation*All inquiries are welcome concerning our Statement of Faith. Yes, I (or we) confirm agreement with all the beliefs in the above Statement of Faith. No, I (or we) do NOT confirm agreement with all the beliefs in the above Statement of Faith. I (or we) have questions concerning the above Statement of Faith. QuestionsPlease indicate questions concerning our Statement of Faith.How to pray for youWhat are some specific things that we can pray for you as you embark on this mission?Name*Your name here serves as your electronic signature. First Last Did the applicant receive assistance from another person in the completion of this application?* Yes No Assisted by: First Last TitleAssisting Sponsoring Agency:Assisted Date MM slash DD slash YYYY Ready to Submit Application?*Before you "Submit" your application, please please please, click "Save & Continue Later" to receive a link that will allow you to come back to this form in case any edits are necessary. I am ready to Submit my application to the NHCC missions committee. Δ