Nanaimo 2025 Missions Trip Application
Nanaimo BC Missions Trip Application Form
November 21-28 2025
First Name
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Last Name
*
Email Address
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Why do you want to join this Missions trip?
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Have you taken the Summit Missions 101 class?
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Yes
No
Missions 101 is mandatory to participate in this trip. Please register on our website.
Yes I will register and attend this class
Have you been on a Summit Missions trip before?
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Yes
No
What is your greatest spiritual strength?
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List 4 character references with phone numbers
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Name a Summit Staff Member or Family Group Leader who you are in relationship with
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What is your prayer life like?
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How do you handle conflict?
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Do you have a criminal record that has not been pardoned?
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Yes
No
What is your level of understanding regarding deliverance?
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Are you currently or do you have past unrenounced involvment in any occult or witchcraft practices?
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Do you have any health issues that we should know about?
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Do you have any mobility challenges?
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Allergies
Peanuts
Other Nuts
Dairy
Gluten
Eggs
Sesame
Soy
Other Allergy
*We reserve the right to refuse any applicant even after acceptance with resonable grounds.
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