Mission Trip Application

Mission Trip Application

This is a mission trip application for the Bethel Atlanta mission trip to Selma, Alabama. The team will be leaving on 3/10/23 and returning on 3/12/23. The cost of the trip is $200.00.
Contact Information
Name*

First Name Last Name
Email*

Confirmation Email example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

City State

Zip Code
Birth Date*

MonthDay Year
Mission Trip Questions
Have you ever been on a mission trip before?*
Please describe mission trips you have taken.
Do you have any special skills and/or talents?*
Example: bilingual - Spanish, musician - guitar, prophetic training
Please describe your special skills and/or talents.
Please explain why you want to go on this mission trip.*
How would you describe your current health and wellbeing?*
Are you currently under the care of a physician for a medical condition?*
Please describe the condition.
How long have you attended Bethel Atlanta?*
What ministries in the church are you currently involved in?*
Are you involved in any ministries outside the church?*
Please describe the ministries you are involved in outside the church.
Should be Empty:

Contact Information