Trinidad 2023 Application Form

Trinidad 2023 Missions Trip Application Form

Please start by reading through the Trip Details, and then begin completing the form below.
TRIP DETAILS

Dates: July 3rd - 11th, 2023

Ages: 14 - 18 (by the date of the trip)

Price: $1,500/person

Checks Payable to:

Open Bible Central

1920 Bell Ave.

Des Moines, IA 50315

Memo Line: Trinidad - Deposit

Online Payment Option: Available after submitting application

*All online payments will incur a 3% fee due to charges by the service provider* If you wish to avoid paying a fee, please pay by check.

APPLICATION ONLY CONSIDERED AFTER $100 DEPOSIT IS MADE

Payment Schedule:

$100 deposit - After Submission of Application

$1000 total - By March 1st (needed to purchase airline tickets)

$1500 total - By June 1st

---------------

Questions or Concerns? Contact Skyler Sanford by call, text, or email :

Phone: (515) 707-7215

Email: Skyler.sanford98@gmail.com
Application Form Type

Some questions will not pertain to both types of applicants. If a question does not pertain to you, and it has a red asterisk in the corner, please write "N/A" in the box so that the form will submit.
I am applying as a : *

Student (ages 14-18 by the date of the trip) Staff Member (ages 19+)
Before being considered, those applying to be Staff Members must successfully pass a background check through Central Region Open Bible.

Any Applicants (Students/Staff Members) not selected for the trip will be refunded their $100 deposit.
Personal Information
Full Legal Name *
First, Middle, Last (As it appears on your passport, or Government-Issued ID)
Current Age: *
Ex: 16
Date of Birth *

Month Day Year
Gender *

Male Female
T-Shirt Size (Adult Sizes) *

XS S M L XL XXL
How did you hear about this trip? *

Camp/Breakaway Youth Pastor/Leader Friends/Family Church Announcements Other
Other, please specify
Contact Information
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mailing Address (if different than home address)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Email *
Phone Number *

Area Code Phone Number
Emergency Contact Information

Please provide the information of at least 1 individual who can be an emergency contact for you. This CANNOT be someone who is on the trip. Contact must be 18 or older. You may provide up to two contacts.
Contact Name *

First Name Last Name
Relationship *
EX. Mother, Father, Grandparent
Phone Number *

Area Code Phone Number
Email *
example@example.com
Contact Name

First Name Last Name
Relationship
EX. Mother, Father, Grandparent
Phone Number

Area Code Phone Number
Email
example@example.com
Medical Information
Do you suffer from any medical condition/disability that may affect you on this trip? *

No Yes
If yes, please specify
Do you have any Allergies?
If yes, please specify
Do you have any Dietary Restrictions?
If yes, please specify
Church Information
Church Name *
Please type the name of the church that you attend
Church Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Youth Pastor's Name *
Youth Pastor's Phone Number *

Area Code Phone Number
Youth Pastor's Email Address
example@example.com
Passport Information

You must have a valid passport to come on this trip, and to complete this application. If you do not have one, please apply for one IMMEDIATELY. This process can take 1-2 months to complete.
Passport Number
Passport Expiration Date

Month Day Year
Date
Country of Issue
Parent/Guardian Information

This section is only for Student applicants who are under the age of 18. If you are 18 or older, please write "N/A" in the boxes below (Including Signature Boxes), and proceed to the next section (Trip Questions).
Parent(s)/Guardian(s), please fill out the blank spaces with your information below. There is room for 2 parents/Guardians if needed. Please read the disclaimer, and then sign below if you so choose.

Those applying as Staff Members, please skip this section.
Name *

First Name Last Name
Relationship to Student *
EX. Mother, Father, Grandparent
Phone Number *

Area Code Phone Number
Email *
example@example.com
Name

First Name Last Name
Relationship to Student
EX. Mother, Father, Grandparent
Phone Number

Area Code Phone Number
Email
example@example.com
For the Parent/Guardian:

By signing this application, I (the parent/gaurdian) understand that my family is responsible in supporting my child monetarily, physically, spiritually, and mentally. I promise to help them in raising the funds to the best of my ability.

I promise to help keep track of times and dates to ensure that my child is available for online meetings. I will do everything in my power to keep the Trip Leader appraised of any conflicts or issues. I understand that my child may be asked to give up their spot on the trip if we fail to meet the minimum requirements.

Finally, I understand that my participation and encouragement is vital to the overall group mentality. I agree to support my child and the missions group in this missions trip in everyway that I can.
Parent/Guardian Signature *

Clear
Trip Questions

Please be as truthful as possible when answering. This is meant to help us better understand who you are, and why you want to be on this trip! Please answer each question with a minimum of 2 sentences.
What is your present/past involvement in your youth group or church? *
Why are you interested in coming on this missions trip? *
In what areas of your life are you hoping to grow during this trip? *
What are some skills, interests, or hobbies you have that may be useful on this trip? *
EX: Public Speaking, Playing Guitar, Good with Children, Good at Soccer
What is something that you would like to do on this trip? *
EX: Pray for others, Preach a sermon, Give a kids lesson, Lead worship at a service
In what other, if any, missions trips have you been on? *
Please list to which countries, or states (if in the U.S.), and write the year that you went to those places.
What are some things that you hope God does in your life during this trip? *
Terms of Agreement

For those applying as Staff, please write, "N/A" in the Student Signature box. For those applying as Students, please write, "N/A" in the Staff Signature box.
For the Student:

By signing below, I (the student) understand that I (and my parents) are responsible for my deposit, and inevitably the full cost of my trip.

I also understand that preparation for this trip is crucial, and promise to read the book given to me, and attend the online mission trip meetings. If I am unable to attend a meeting, I will let the Trip Leader know in advance. If I fail to meet these requirements, I understand that I may be asked to give my spot to another student who can comply with the requirements.

Finally, I agree to participate fully in the mission trip, regaurdless of what obstacles we may encounter. I understand that missions work is hard, and promise to give my whole self, allowing Christ to work through me. I understand that housing may not be what I am used to, that the enviroment may be challenging, food may be different or limited, and I fully welcome these opportunities.
Student Signature *

Clear
For the Staff:

By signing below, I (the staff member) understand that it will be my duty to protect and take care of the students who come on this trip. I understand that unexpected situations may arise, and I commit myself to working through any obstacles to best enhance the well-being of the group.

I also understand that I am not the leader of this trip, and promise to work together with the Trip Leader, and other staff members, to provide a Christ-like atmosphere for the group while we minister together throughout the trip. I understand that serving as a staff member on this trip is a great responsibility, and I promise to put my best foot forward in serving the students who come on the trip.

Finally, I agree to participate fully in the mission trip, regaurdless of what obstacles we may encounter. I understand that missions work is hard, and promise to give my whole self, allowing Christ to work through me. I understand that housing may not be what I am used to, that the enviroment may be challenging, food may be different or limited, and I fully welcome these opportunities.
Staff Signature *

Clear
For all Applicants *

I hereby declare that I have provided accurate information in this application, and understand that any information found to have been falsified, could result in being disqualified from the trip.
Comments or Questions?
Should be Empty:

Now create your own Jotform - It's free! Create your own Jotform

Trinidad 2023 Missions Trip Application Form

Application Form Type

Personal Information

Contact Information

Emergency Contact Information

Medical Information

Church Information

Passport Information

Parent/Guardian Information

Trip Questions

Terms of Agreement