Mission Survey

Youth Section:

Student’s Name: Today’s Date: ____/_____/___________

Address: Age: ____

Phone Number: (_____) ______ - _________

Parent’s Name(s): Email: _______________________________

_____________________

What do you like to do in your spare time?

Write about how you became a Christian (include dates as needed).

What are the three most important events in your life spiritually? In other words, what events have taken place in

your life that have helped you grow closer to God? Describe each.

1.

2.

3.

Since becoming a Christian, what have you been doing to make sure that you are growing closer to God?

Are there any special issues or concerns happening in your life right now that would have an impact in your

commitment and involvement in the mission trip? If yes, describe.

What spiritual gifts and talents do you feel you have, and how would they benefit this mission trip? [A list of

spiritual gifts can be found in Romans 12:4-6, 1 Corinthians 12:4-11, & 1 Peter 4:10-11]

List three reasons you have for going on this mission trip?

1.

2.

3.

What do you hope to get out of this mission trip?

Are you prepared to sweat, serve Jesus, develop friendships with new kids, and grow closer to God?

Parent Section:

Parent’s Name(s): Today’s Date: ____/_____/___________

Email: _______________________________

What are three words that you would use to describe your child? Explain each.

1.

2.

3.

Do you have any concerns with your child going on this trip? Describe.

In what ways can you support your child(ren) beforehand, during, and after to make sure that this is a life-changing

trip for them?

Before the Trip

During the Trip

After the Trip

What are a few things that you hope that your child takes away from this trip? Explain.

1.

2.

3.

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