In order to go on a mission trip with Dr. Kaye Beyer YOU MUST fill out this form completely.

Full Legal Name:                             Date of birth:                            Gender:                                Occupation:

Address:                                                   City:                                         State:                                            Zip:

Home Phone:                                       Cell Phone:                                 Work Phone:                                   E-mail:

Passport #                                             Exp. Date:

Emergency Contact Name:                                Emergency Contact Phone:                  Relationship to Emergency Contact:

Have you previously traveled and ministered with an international ministry team? Have you previously traveled and ministered with an international ministry team?

If yes, please provide a brief description of your trip and experience:

Are you born again?                                                   

Are you Spirit filled?                          

Are you willing to minister consistent with WCFYM ministry guidelines?

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

No alcoholic beverages will be consumed by ANYONE during the ENTIRE

duration of the mission trip. Are you willing to comply? 

NO ONE will lay hands on ANYONE without asking Dr. Kaye or a team leader

first. Are you willing to comply?

If you have any visible tattoos, they MUST be covered during the ENTIRE

duration of the missions trip, are you willing to comply?

If you have any body piercing, they MUST be removed during the ENTIRE

duration of the mission trip (ear rings in the lobes are approved for women only)

are you willing to comply?

If married, does your spouse support your participation in going on the mission field?

Do you have any physical disability?

If yes, please describe:

Please list any conditions that may limit your participation and any medications you are currently taking:

Have you been treated for any mental/emotional condition(s)?

If yes please describe:

Please list any allergies to food, medicine, Etc.

Medical Insurance Provider:

Medical Insurance Policy Number:

Medical Insurance Phone Number:

How would you describe your temperament?

Church Name:

Denomination:

Church Address:

Church City:

Church State:

Church Zip:

Church Phone Number:

Pastorʼs Name:

How long have you attended this church?

Do you attend church regularly?

Have you been baptized in water?

Have you been baptized in the Holy Spirit?

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

When were you baptized in the Holy Spirit?

What do you believe are your spiritual giftings?

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

If yes, please describe:

Have you received any other Christian ministry training other 

than this School of Missions?

Are you fluent in any languages other English?

If yes, name the languages:

I DECLARE THAT THE INFORMATION PROVIDED BY ME IN THIS 

APPLICATION IS TRUE, CORRECT, AND COMPLETE TO THE BEST 

OF MY KNOWLEDGE. I AUTHORIZE WE CARE FOR YOU MINISTRIES

TO VERIFY ANY AND ALL INFORMATION PROVIDED ABOVE. 

Typing your name in the box below will act as you electronic signature.

(Electronic signature) 

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