ESCAPE22 MISSIONS TRIP APPLICATION

Cornerstone Church
56829 Hwy 30, Ames, IA 50010

APPLICATION and REFERENCE LETTERS DUE February 17th, 2009

(Turn into Bottleneck or to Cody Cline at the Cornerstone office)

PERSONAL INFORMATION
First Name: Middle Name: Last Name:
City: State: Zip Code:
Home Phone: Cell Phone: High School:
Email Address:
Year in School:

EMERGENCY CONTACT INFORMATION

Name: Address:
City: State: Zip Code:
Phone Number:

Intended Ministry
Which Escape22 mission’s trip are you applying for? Circle one
(See the trip info sheet attached to this page for questions)

STEM Rosebud Panama China

July 15-18 or 22-25 June 19-25 July 21-29 June 22-July 2

Why do you want to participate on this trip?

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Have you talked with your parents about this trip? ____Yes ____No

How do they feel about this trip? Circle one or fill in the blank

Enthusiastic Nervous Negative Supportive Other___________

EXPERIENCE
Indicate experience in the following:
Share testimony: none some extensive
Evangelism: none some extensive

Have you served in missions before?

Place: Year: Purpose
Place: Year: Purpose
Place: Year: Purpose

EXPRESSION OF CHRISTIAN FAITH

1. Please share how and when you committed your life to Jesus Christ. Tell us
about the circumstances that led up to that decision.

2. Please tell us where and when you were baptized and what you understand the
purpose of baptism to be.

3. Describe one way your relationship with Christ has affected your life or changed
you.

4. Since you have been a believer, how have you shared the gospel with others?
Please describe a recent experience of sharing the gospel with someone who was
not a Christian.

CHRISTIAN LIFE
1. Please tell us about how you do your devotions and how regularly you do them.

2. Share with us one thing God has been speaking to you about during your
devotion time.

3. Please describe 3 personal strengths and how you perceive they might benefit a
team.
4. Please describe one personal weakness and how you perceive that it might
affect the team.

SERVING
1. How are you currently serving God at Cornerstone?

2. What are your spiritual gifts, God-given skills and abilities?

3. Are you in a Small Group at Escape? How long have you been in a Small Group?
Who is your SG leader?

LIFESTYLE ISSUES
1. Are there any relational issues that make it difficult for you to function on a
team?

2. Is there brokenness in any relationship(s) you have? If so, with whom?

3. Do you currently, or have you ever, experienced a significant period of

depression?

4. Is there anything in your life, if made known, would hinder your witness or be
an embarrassment to
your ministry or the group you represent?
TEAM WORK
1. It is of critical importance that you work well with others. Are you willing to
follow policies and
project leadership even though you might not totally agree with them in every
situation?

If “NO”, why not:

Please have two reference forms to Cody by February 17th, one from your small group leader
and one from a parent. Be as prompt as possible, failure to do so will result in dismissal from
all consideration for this summer.
Trip Information Page
STEM International- Date: Mid to Late July (Tentative date: July 15-18 or 22-25)
Team Leader: Mitch Nims
Target E22 Group- Freshman, Sophomores, Juniors, and Seniors
Projected Cost $325

When we think of missions and outreach we often think somewhere “over there.” Not this time. We
need to see that God is calling us to serve in radical ways the people that live just outside our front
doors. People everywhere are hurting, hungry, and most importantly need Christ. This trip will plunge
you deep into the heart of Minneapolis to reach out to a world most people never see.

Rosebud- Date: Late June (Tentative date June 19-25)

Team Leader: Cody Cline
Target E22 Group- Sophomores, Juniors, and Seniors
Projected Cost- $350

Further away than Minneapolis, but not quite to Panama is Rosebud Indian Reservation. Become a
part of Cornerstone’s continual work in Rosebud by spending a week reaching out to teenagers and
building relationships that hopefully will last beyond a week. With our message of grace and hope we
are anxious to see God move in mighty ways in one of America’s most unreached people groups.

Panama- Date: Late July (Tentative date July 21-29)

Team Leader: Cody Cline
Target E22 Group- Juniors and Seniors
Projected Cost- $1250

This is a great first cross-cultural missions trip. You will have to learn some Spanish, brave the humid
elements of the jungle, and serve, serve, serve. But it is our hope that you will get a chance to not
only hear of God’s heart for the nations, but for one time see it. In the end you will see that we
worship a Global God, with a Global heart, to move in places beyond your school, your borders.

China- Date: Mid-June to Early July (Tentative date June 22nd- July 2nd)
Team Leader: Clint Robinson
Target E22 Group- Seniors
Projected Cost- $2500

For those who have been to Panama and are contemplating a future in global mission’s involvement
this is for you. You will live among a people where 18,000 people on average give their lives to Jesus
every day. This trip will expose your heart to the other side of the world and expand your vision, as
you head off to college, of how to be purposeful with your life.

What trip is for me?

All grades are the grade the student is currently in.

How do I finance the trip?

For the STEM/Rosebud Trips- $350 is paid out of pocket minus whatever is made through the Super
Saver card fundraiser.
For the Panama and China Trips- $350 is paid out of pocket, Cornerstone gives a gift (around $150),
and support letters/fundraising through a car wash and garage sale covers the rest.

We do our best to ensure that any and every passionate student who should go, gets to go.

If you have any more questions please call or email me at 563-380-0019 or

cmcline@gmail.com.