Short-Term Application

Type of placement I am applying for:(Required)

Customized Internship

Short-Term Trip (list of upcoming trips will appear below)

Describe the Internship(Required)

Name of Trip(Required)

Dearborn, Michigan – August 1-7, 2026

Dearborn, Michigan – August 8-14, 2026

Dearborn, Michigan – August 15-21, 2026

Northeast Thailand – December 9-22, 2026

See trip descriptions at bicus.org/missions/go/short-term/

Basic Information

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Date of Birth(Required)

Email(Required)

Enter Email Confirm Email

I am age 21 or over:(Required)

Yes

No

If under 21, parent or guardian consent and information will be required at the end of this application.

If you have social media, please share links to all your accounts. (If none, write “N/A”.)(Required)

Passport Information

Only complete for international trips.

Number

Issuing Country

Issue Place

Issue Date

Expiration Date

Acknowledgement

BIC U.S. provides opportunities to all applicants for short-term missionary service without regard to race, disability, color, creed, sex, age, national origin, ancestry, citizenship, or veteran status in accordance with applicable federal, state, and local laws. BIC U.S. complies with applicable state and local laws governing nondiscrimination in employment in every location in which BIC U.S. has facilities. As a Christian Church, BIC U.S. decisions regarding short-term missionary service opportunities are guided by biblical principles of the historic Christian faith. These decisions will be consistent with the Brethren in Christ U.S. Articles of Faith and Doctrine. BIC U.S. expressly prohibits any form of harassment based on race, disability, color, creed, sex, age, national origin, ancestry, citizenship, or veteran status. Improper interference with the ability of BIC U.S. short-term missionaries to perform their expected job duties is absolutely not tolerated.

Education

List most recent education completed, high school, college, or post-graduate studies:

School, University, or Institution Name(Required)

City(Required)

State(Required)

Degree earned(Required)

If degree not completed, write anticipated degree earned.

Year Graduated(Required)

If not yet graduated, write anticipated graduation year.

Major

Church

Home church(Required)

Pastor(Required)

Pastor's Email(Required)

Baptized:(Required)

Yes

No

If yes, please list date.

Church Member(Required)

Yes

No

If yes, please list date.

Experience

Cross-Cultural Experience(Required)

Briefly describe any previous cross-cultural exposure you have had, as well as any previous evangelism and/or missions experience.

Work Experience(Required)

Briefly describe any practical and creative skills developed from previous work and service experiences.

Briefly answer the following prompts:

Describe your salvation experience and your spiritual life today. Please include how you regularly cultivate your relationship with God.(Required)

Describe significant factors and people in your development as a Christian.(Required)

What are your ministry strengths and weaknesses?(Required)

Have you ever experienced any emotional or mental difficulties (e.g. depression, eating disorders, suicidal thoughts, obsessive compulsive disorders, addiction to drugs, alcohol, pornography, etc.)?(Required)

Yes

No

If yes, please explain.(Required)

Why do you want to participate in this short-term service opportunity? How did you learn of this opportunity?(Required)

References

Your pastor will be contacted. List two additional persons (i.e., fellow employee, teacher, or friend) who can serve as references for you. Do NOT include close relatives. Please provide complete addresses:

Reference 1: Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Enter Email Confirm Email

Reference 2: Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Enter Email Confirm Email

Confirmation(Required)

I give BIC U.S. World Missions permission to contact the above references.

Context for Mission

BIC U.S. World Missions is a ministry of the Brethren in Christ U.S. (“BIC U.S.”) for the purpose of developing, supporting, and directing the mission efforts of the Church. The message of redemption and reconciliation in Christ Jesus is expressed in both Word and deed. Christian believers rejoice in the power of the Holy Spirit to renew their lives and to lead them into ministries of evangelism, church development, leadership training, peace and justice, and economic development.

Personal Covenant for Service

As a member of the BIC U.S. World Missions team, I will be committed to:(Required)

Please check each box to indicate you have read and agree with each statement.

1) The Lordship of Jesus Christ, nurtured by the empowering of the Holy Spirit, Scripture, prayer, worship, and active participation in a local congregation.

2) Pursuing Christ’s way of peace in all relationships.

3) Sensitivity to local believers regarding dress codes and standards of living.

4) Emotional, social, spiritual, and physical health and resilience.

5) A lifestyle based on biblical teaching, including limitation of sexual expression except in heterosexual married relationship.

Release Of Information

Insurance Coverages While on the Trip

Please note, BIC U.S. does not provide auto or medical/hospital insurances for this trip, but requires each participant to provide proof of personal coverage for these items by completing the following information:

Do you have medical insurance?(Required)

Yes

No

Family Medical/Hospital Insurance Carrier(Required)

Policy or Group Number(Required)

Family Auto Insurance Carrier

Auto insurance only needed if person is driver or leading trip.

Policy or Group Number

Basic Information

Passport Information

Acknowledgement

Education

Church

Experience

Briefly answer the following prompts:

References

Context for Mission

Personal Covenant for Service

Release Of Information

Insurance Coverages While on the Trip

Statement Of Understanding