2026 Malaysia Missions Application

This is the application form for the Malaysia 2026 Ministry Trip.

Your application will be treated with confidentiality. Please answer all questions honestly and truthfully. If you have any further questions on any part of this application or need assistance please contact Grant Cullum - gnscullum@gmail.com

Personal Details

First Name *

Last Name *

Date of Birth *

Gender *

Marital Status *

Mailing Address *

Mobile Number *

Email Address *

Current Occupation *

Passport Details

Do you have a current passport? *

Passport Number

Passport Date Of Issue

Passport Expiry Date

Name On Your Passport (if different from above)

Country Of Birth

Passport Nationality

Country Of Residence *

Emergency Contact Details

Emergency Contact Name *

Relationship To Emergency Contact *

Emergency Contact Phone Number *

Emergency Contact Address *

Health Information

How would you rate your current health? *

If you are over 65 or have an ongoing medical condition are you able to provide a doctor's certificate to travel? *

Please provide details of any serious injuries or illnesses you've had in the last 12 months *

Please provide details of any food allergies *

Do you suffer from any of the following medical conditions? *

Are there any other medical conditions that you feel we should know about? *

Do you have medication that you are required to take at some point during the trip? *

Do you have or are you planning to get health and travel insurance for this trip? *

Travel, Ministry & Missions Experience

What languages can you speak and to what level of fluency (basic, conversational or fluent) *

Are there any roadblocks that could prevent you from going on this trip? eg. work commitments, family responsibilities, change in living, relationship situation. *

Which parts of the world have you travelled to?

Have you been on a missions or ministry trip before? Please give details. (If it's of a sensitive nature, please speak to a trip leader) *

Are you in a position to fully pay for the financial cost of the trip? *

What skills can you contribute to the team and mission? *

Any other skills that you feel you can contribute?

What areas are you currently involved at church? *

Personal Faith Profile

Why do you want to go on this trip? *

When did you commit your life to Jesus? *

How would you describe your relationship with Jesus? *

Agreements

Do you have any criminal convictions or other complications that you are aware of which could prevent you from leaving New Zealand or being allowed into another country? *

Please download and read the following documents:

The River Christian Church Statement Of Faith

The River Christian Church Code Of Conduct For International Missions

Release Statement - Malaysia 2026

The River Christian Church International Missions Refunds Policy

I have read and agree with above mentioned The River Statement Of Faith *

I have read and agree to the above mentioned River Code Of Conduct For International Ministry And Missions *

I have read and agree to the above mentioned Release Statement *

I have read and agree with the above mentioned The River Missions Refunds policy *

I have filled out this form truthfully and answered all questions to the best of my knowledge *