MTS Eastside Application

MTS 101-401

Your name *

Email address *

Phone number

General Information

Help us get to know you a little more!

Gender

When did you make a decision to follow Jesus? *

Have you been water baptized? *

Date of baptism

Are you a Member of Mosaic?

Yes

Which Mosaic Church do you attend?

Mosaic Seattle

Mosaic Eastside

Mosaic North

Involvement in Mosaic *

I attend a Mosaic House Church

I attend Sunday Services

I am on a serve team with Mosaic (Home Team, kids, etc.)

I serve with Mobile Outreach

Briefly describer your family background. *

Current Employer *

Do you have a passport? *

Please also tell us if you have any limitations due to immigration status that would hinder you from leaving the country on a mission trip (i.e. visas, etc)

Do you have any specific questions about MTS we can answer?

Why are you applying for MTS *

Faith Background

These questions help us to understand your faith journey and if MTS will be helpful in taking your next steps with Jesus.

What is your religious or denominational background? *

Have you ever been involved in the occult, new age practices (tarot cards, crystals, etc.), or a cult (Mormons, Jehovah's Witness, etc.)? *

If so, explain.

What is your religious or denominational background?

Health Background

These question are to help us understand your current health journey to ensure that MTS will be a good fit for you in this season.

Are you currently taking any medication or under a doctor's care that might impact your MTS involvement? *

If so, indicate reason, medication, purpose and any limitations it may cause.

Do you have any handicaps or health conditions that require special care? *

If so, explain.

Have you been diagnosed with a mental health condition that might impact your MTS involvement? *

If so, please explain.

Is there anything going on in your life that the MTS Director should be aware of?

You made it to the end!

You will be contacted shortly to set up an interview.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.