Phone number *
Phone type Mobile Home Work Other
Gender *
Select… Male Female
Marital status *
Select… Single Engaged Married Married (unbelieving spouse or spouse does not attend church) Divorced Single Parent Widowed
Do you have any children? *
Select… Yes No
Are you currently in college? *
Select… Yes No
Are you a member at Harris Creek? *
Select… Yes No
Are you in a life group at Harris Creek? *
Select… Yes No
Select all that you have participated in at Harris Creek. *
Are you currently employed? *
Select… Yes No
Do you have any medical conditions we should be aware of? *
Select… Yes No
Have you confirmed your schedule allows you to be on this trip from Saturday, October 7th to Saturday, October 14 of 2023? *
Select… Yes No
Do you have a Passport that does not expire within 6 months of 10/7/2023? *
Select… Yes No
Briefly describe your testimony of when you decided to follow Jesus. *
Briefly describe your last 12 months of following Jesus. *
Briefly describe why you want to participate on this trip. *
On a scale of 1-10, 10 being absolutely certain and 1 being not so sure, if you were to die today how confident are you that you would go to heaven? *
Please check the box that most applies to you.
Select… 1 2 3 4 5 6 7 8 9 10
Hypothetically, if you were standing before the gates of heaven and God asked you, "Why should I let you in?" What would you respond with? *
The following questions are highly personal. Because of the high visibility of our personal lives as we minister to others, we need to be above reproach and live in a way that brings glory to God. As representatives of Christ, volunteers must exhibit strong convictions and a lifestyle consistent with biblical standards. As an applicant, we want you to know that a “Yes” may not automatically prevent you from being accepted. This sensitive information will be handled confidentially by those who evaluate your application.
Have you accessed pornography in the last 6 months? *
Select… Yes No
Have you been sexually impure in the last 6 months? *
Select… Yes No
Have you been under the influence (from alcohol and/or drugs) in the last 6 months? *
Select… Yes No
Do you regularly use/consume nicotine? *
Select… Yes No
Have you ever faced criminal prosecution? *
Select… Yes No
Optional: If you have anything else to add to the above questions, feel free to add that now.
Optional: Is there anything in your life that if it came to the light would surprise us or discredit you and/or your ministry?
If you are a parent or legal guardian of a minor, who all are you filling this application out for?
Optional: Is there anything else you would like for us to know?
Submit
