Application Form

Have you previously traveled with Dayspring? YesNo

Personal Information

Gender: MaleFemale

Contact Information

Passport Information

Emergency Contact Information

Medical Information

Do you have any allergies to food, medicine, etc.? YesNo

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Have you ever been treated for any mental/emotional condition? YesNo

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Do you have any condition or physical disability that may limit your participation and/or do you take any medications? YesNo

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It is highly recommended that you carry or obtain primary medical insurance to cover possible additional medical needs that may arise during international travel.

Do you have primary medical insurance? YesNo

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Supplemental Information

Are you born again? UnsureYesNo

Are you Spirit-filled? UnsureYesNo

Have you been water baptized? YesNo

Are you willing to minister within Dayspring's ministry guidelines? YesNo

Are you willing to submit to being monitored and lovingly corrected if necessary? YesNo

Are you married? YesNo

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Does your spouse support your participation? YesNo

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Church/Ministry Information

Do you attend church regularly? YesNo

In what areas of church life are you currently serving or have you served in the past?

What do you believe are your spiritual gifts?

Have you received any ministry training in the area of healing? YesNo

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Are you fluent in English? YesNo

Are you fluent in any other language(s)? YesNo

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Supplemental Information

Are there any changes since your last trip that we need to be aware of? YesNo

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Agreement

I declare that the information provided by me in this application is true, correct and complete to the best of my knowledge. I authorize Dayspring Church to verify any and all information provided.