Please read this application form and fill in all the applicable blanks.

  1. The section Family Medical Information only applies for families with children. One form is to be completed per each child in the family. 

  2. Married couples should fill out a separate application complete with references.

  3. Reference Forms are confidential. They must be obtained from your pastor, one employer and one personal friend and/or coworkers.

  4. Go To Nations requires that every person traveling to train, visit, work or minister with Go To Nationsmissionaries sign a Release of Liability form enclosed in this packet. It should be signed, notarized and mailed to Go To Nations, c/o International Internship Director, no later than 14 days prior to departure to the Internship location. A copy of the Guidelines Agreement is to be signed by each intern of the TIP and is also included for your convenience.

  5. Funds for the program should be received in full a minimum of 45 days before departure date. If you are attending through a college program, a detailed list of deadlines for completion of tasks and fundraising are submitted to your department head.

  6. With each completed application please include the following:

    a. Recent close up photo. A recent family picture will suffice.
    b. Color copy of passport photo page, including signature.
    c. Immunization record.
    d. Non college program students must submit a $75 deposit fee and FBI Background

    check to reserve your spot.
    e. Make checks payable to
    Go To Nations. 

Name *
Name
Date of Birth *
Date of Birth
Address before TIP *
Address before TIP
Mailing address after TIP
Mailing address after TIP
Permanent address *
Permanent address
Cell Phone Number *
Cell Phone Number
Home Phone Number
Home Phone Number
Marital Status *
Name of Spouse
Name of Spouse
Wedding Date
Wedding Date
Name your children, their age and date of birth (month/day/year)
Education
Name the High School/College/University or Bible School you attended, the location, hrs/degree earned and date you attended
Finances
Are you aware that full payment for Timothy Internship Program is due a minimum of 45 days prior to the beginning of class? *
Employment
List the type of employment, the employer the and the dates that you worked
Church Affiliation
Pastor's name *
Pastor's name
Church phone *
Church phone
Church address *
Church address
Additional Information
Have you ever been on a short-term mission trip? *
Conversational or Fluent
Christian Experience
Christian Character
Please answer the following in 5-6 sentences:
Travel Information
Name city, state and airport code
Name city, state and airport code
Passport Information
Expiration Date *
Expiration Date
EMERGENCY CONTACT INFORMATION
Emergency contact name *
Emergency contact name
Address *
Address
Home *
Home
Cell Phone *
Cell Phone
Medical Information
Have you been hospitalized, had a serious illness, or chronic disorder within the last 24 months: *
Do you have special diet? *
Are you vegetarian? *
Food
Medications
Animals
Other