Mission Trip Application
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Which Trip Are You Interested in Joining?
Moldova
Do You Have A US Passport?
Yes
No
Name on Passport
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Are You A US Citizen?
Yes
No
Emergency Contact
Emergency Contact
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Personal Information
Tee Shirt Size
XS
S
M
L
XL
XXL
XXXL
Other
Occupation
Under 18?
Yes
No
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Do You Attend Elevate Church?
Yes
No
If No, Which Church Do You Attend?
Have You Been On A Mission Trip Before?
Yes
No
GIFTS AND SKILLS INVENTORY
Gifts & Skills
Leadership
Teaching
Writing
Language
Photography
Prayer
Children's Ministry
Health Care
Construction
Administration
Music
Other
Why Do You Want To Participate In This Trip?
Describe What May Be The Biggest Challenge For You
Describe Your Strengths
Describe Your Weaknesses
COMMITMENT
I Understand That This is an Evangelical Mission Trip and that we will be sharing our faith, praying and having devotions
Yes
No
I Will Fundraise or Pay My Mission Trip in Full To Cover The Cost Of The Trip
Yes
No
I Will Attend Meetings & Trainings Before My Trip
Yes
No
I Will Honor The Guidelines Set By Elevate Church and The Missions Team Leaders
*
Yes
No
Submit
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