MHT 2025 - Nepal Online Application

Contact Information

---

Name (Full Legal):

Passport or Drivers License #:

Passport # if you have it or drivers license

Address:

City:

State:

Zip:

Cell Phone #:

Other Phone #:

Email Address:

Personal Information

---

Home Congregation:

Date of Birth:

Age:

Gender Male Female

Marital Staus Single Married

Previous Travel Experience

---

Have you ever traveled overseas? Yes No

If yes, where and circumstances?

Desires and Talents

---

Why do you want to go on this Mission-Helper trip?

Please list any particular gifts or talents you might have that could be used on this trip?

Hopes and Goals

---

What do you hope to gain personally from this trip?

What do you hope to accomplish as a CLC Mission-Helper volunteer?

Health Risks

---

Do you have any health conditions, physical limitations or concerns that might cause difficulty while traveling in a developing nation that has limited health care facilities? Yes No

If yes, explain.

Previous Experience

---

What educational and work experience do you have that could be put to use in assisting in the efforts of our fellow Christians to spread the Gospel?

What experience, if any, do you have working with another culture?

Financial Ability

---

Will you be able to arrange financial funding for this Mission-Helper Trip? Yes No

If no, explain your circumstances and what financial assistance you would need to participate.

Letters

---

Allowed file types for upload: picture, pdf, or microsoft document.
Remember to allow a few minutes for the form to upload the files after clicking the submit button.

Personal Letter:

A personal letter explaining your desire to participate in the CLC Mission Helper Program

Pastoral Recommendation:

A letter of recommendation from your pastor.

Parental Permission:

A letter of permission from your parents if you are under 21 years of age.

Passport or Drivers License:

A copy of your personal passport or drivers license.

Questions may be sent to Sam Rodebaugh at sam [dot] rodebaugh [at] gmail [dot] com