EACH PARTICIPANT MUST FILL OUT THIS APPLICATION FORM.
Study Trip Option #1: (Please select the trip and date you would most like to go on)
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Israel, March 13 - 27, 2026 (Brad Nelson)
Israel, June 13-27, 2026 (Brad Nelson)
Study Trip Option #2: (Please select your second choice)
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Israel, March 13 - 27, 2026 (Brad Nelson)
Israel, June 13-27, 2026 (Brad Nelson)
Name
*
First Name
Last Name
Please select ALL statements that describe you.
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not between the ages of 16 and 65
significantly overweight
significant health or pain problems
not able to walk/run 1 mile within 13 minutes
not able to walk/run 3 miles within 46 minutes
not able to
ascend
20 flights of stairs (240 steps) without stopping
not able to
descend
20 flights of stairs (240 steps) without significant joint pain
none of the above
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Based on your input on the previous page, it appears that you may not be well suited for this study trip. If you would like to continue, please select 'Yes' below and provide a detailed explanation of how you would still be a good fit for this study trip. Would you like to continue?
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No
Yes
Please explain how you would still be a good fit for this study trip despite the input provided on the previous page.
*
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Mobile Phone Number
*
-
Area Code
Phone Number
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
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Is anyone traveling with you?
*
Yes
No
Please list the names of all your travel companions.
*
Are you in a ministry/non-profit role?
*
Yes
No
What is your church/organization, and position?
*
How did you hear about this study trip?
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Please submit a 90-second video explaining more about yourself and why you want to go on this trip. (If you are coming as part of a family or group, you may all submit the same video together.)
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Please provide your Dropbox or Google Drive Link to your video here
Do you currently have any health issues that would be a hindrance on this study trip?
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No
Yes
Please describe the health issues
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Have you participated in a study trip or similar trip in the past?
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No
Yes
Please include the following information about your trip: Organization, trip leader, location and date of travel
*
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