Short-Term Missions Application

Your name *

Email address *

Mandatory Non-Refundable $100 Deposit

https://pushpay.com/g/stmissiontrips?fnd=Y_KVrH51jEQ8DTrJXdAHrw&r=No&lang=en&src=pcgl
Once you have completed filling out your application, please submit your $100 deposit to the church office, or submit online via the following link. To submit your deposit online, please note your name and trip location. Applications will not be valid until we have received a deposit payment

2026 Mission Trips *

Please select the mission trip your interest in going on below.

Passport *

Please type out your name as it appears on your passport (Last, First, Middle)

Gender *

Address *

Phone number *

Birthdate *

Marital status *

Birthplace: City/State *

Citizenship *

Passport Issue date & expiration date *

Passport # *

Place of Employment *

Below, please provide information regarding your employment/education (name, Address, Phone number.)

School/College *

Address *

Phone number *

Church Currently Attending *

Below, please provide details on the church you're currently attending (Name, Address, Phone Number etc.)

Address *

Phone number *

How long have you been at this church? *

Are you currently serving in ministry? *

Yes

List any past mission/ministry experience *

When were you saved/born-again? *

First Time Missions Applicant? *

Yes

Why do you want to go on this mission trip? *

Health Insurance Information

Do you have Health Insurance? *

Yes

Insurance Provider *

Group # *

Member # *

Allergies/Prescription Information

List any allergies you have: *

List all prescription drugs and over the counter medications you are currently taking: *

List all past and present medical conditions that we may need to know about:

Emergency Contact Information

Name *

Relationship *

Phone number

Email *

Signature: *

In signing this I give permission for Calvary Chapel Downey Missions Dept. to give the leader of my team a copy of this information of my application for short-term missions. It will be used only for the purpose of this mission trip and for my own safety and care.

Waiver

In being accepted to participate in a short-term mission trip and activities associated with its program/location, I assume responsibility for my actions. I release CALVARY CHAPEL DOWNEY; it's trustees, employees, missionaries, and agents from liability, loss, injury or damage to myself or my property. Nothing contained herein shall excuse CALVARY CHAPEL DOWNEY, it's trustees, employees, missionaries, and agents or sponsors of this activity from responsibility to act with reasonable care for the safety of myself or my property. I hereby release CALVARY CHAPEL DOWNEY; it's staff, sponsors, it's trustees, employees, missionaries, and agents from responsibility and liability for any injury or illness that I may sustain during this activity. In the event of an emergency, I hereby authorize an adult leader of this activity, as an agent of myself, to consent on my behalf to medical treatment. In this regard, I consent to allow said adult to authorize medical, dental or surgical diagnosis, X-ray examination, treatment including surgery, and hospital care for me if needed, and if advised and supervised by a licensed physician, surgeon or dentist. I agree to indemnify and reimburse CALVARY CHAPEL DOWNEY on behalf during the Mission trip, including but not limited to medical expenses of any kind, transportation, hospitalization, emergency room expenses, medications, and prescriptions.

Print Full Name of Applicant: *

Applicant's signature (Parent signature if under 18): *

Adult Volunteer Release and Waiver of Liability

THIS FORM MUST BE COMPLETED IN IT ENTIRETY PRIOR TO PERFORMING ANY VOLUNTEER ACTIVITIES RELATED TO SHORT-TERM MISSION TRIPS

1, the undersigned VOLUNTEER freely, voluntarily, and after reading carefully, execute this Volunteer Release and Waiver of Liability, on the date printed below, agreeing as follows:
Volunteer Status/Insurance: I understand and acknowledge that I am a volunteer, as such, I am not entitled to employee or other benefits such as health or accident insurance, workers compensation benefits, or compensation for duties performed or hours worked. I understand it is my responsibility to provide my own health, disability, liability or accident insurance to cover my claims or damages from any injury, illness, death or property damage I suffer while performing volunteer work.
Assumption of Risk/Release: As a volunteer, I understand that I will engage in hazardous work that involves a risk of illness, physical injury, property damage, or death, from hard physical labor, heavy lifting, exposure to environmental hazards such as mold or inclement weather, and work on ladders, roofs or other elevated or damaged structures. I also understand that I may be provided equipment to use in performing volunteer activities which is dangerous to operate and can cause serious injury or death. I hereby assume all risks associated with performance of these activities and operation of this equipment. I agree to release and hold harmless Calvary Chapel Downey, of any transportation services provided, their agents, officers, staff, and volunteers from any and all liability, claims, suits, demands, judgments, costs, interest and expense (including attorneys' fees and costs) arising from such activities, including any accident or injury and cost of medical services. I understand that Calvary Chapel Downey, their agents, officers, staff, and volunteers are not responsible for the safety or security of my personal effects and release and hold harmless Calvary Chapel Downey from any and all liability for theft, damage or destruction of my personal property.
Ministry Photographs and Video: I acknowledge and agree that while volunteering, my activities may be photographed or videotaped. I hereby consent to the use of to Calvary Chapel Downey and/or their agents, affiliates, or authorized representatives of photographs or videos in which I appear, and I acknowledge and agree that I have no ownership rights in or to those photographs or videos. I hereby release Calvary Chapel Downey and/or their agents, affiliates, authorized representatives and assigns from any claims that I may have relating to any photographs or videos, including without limitation, and claim arising under the right of publicity, right or privacy, defamation and/or copyright infringement.
Emergency Medical Care: I hereby consent to the provision or procurement of emergency medical care or first aid in the event I suffer any illness or accident while performing volunteer activities. I hereby release, and hold harmless Calvary Chapel Downey, their agents, officers, staff, and volunteers from any and all liability, claims, suits, demands, judgments, costs, interest and expense (including attorneys' fees and costs) related to the provision of such emergency medical care.
Code of Conduct: Teams should represent Jesus Christ in their attitudes, behavior, speech, dress and demonstrate love and kindness toward one another and those being served. At no time will foul language or unclean jokes be permitted. While representing Calvary Chapel Downey, we ask that you refrain from alcohol, drugs, and tobacco products. At no time shall there be alcohol, drug, or tobacco use within the homes of families being served at. When wearing Calvary Chapel Downey clothing please use discretion in all activities and present a strong witness.
Firearms are not permitted onsite or in vehicles en route to and from sites. Team members should dress modestly in accordance with Christian standards as well as appropriately for the tasks they are performing. Clothing should not be unduly tight or revealing. Examples of unacceptable clothing include: halter tops, bare midriff separates, short shorts, etc.

Volunteer: *

Name

Date: *

Phone number *

Address *

Signature: *

Parent Signature if under 18: *

Download this link to access the reference form and provide them to your team leader. (2 references are required)

https://www.ccdowney.com/s/Reference-form.pdf

Short Term Mission Questionnaire

If you are have already gone on a mission trip with us you do not need to fill the following questions.

Briefly describe your conversion experience:

Describe your present relationship with Jesus:

What is your present church involvement? How often do you go? Are you active in any ministries or bible studies?

What is your experience and attitude toward (A)Roman Catholics and (B) Muslims?

What hobbies, abilities, talents, and skills do you possess?

What do you see as your strengths?

What do you see as your weaknesses?

What spiritual gifts do you believe you have been give ?

Look up Romans 12:6-8, 1Corinthians 12:4-11 & 12:27-31, Ephesians 4:11-13

What fruit of the spirit do you see in your life/ What fruit of the spirit do you feel you lack?

See Galatians 5:22-26

A copy of your responses will be sent to your email address.