COTW Mission Trip Application

COTW Mission Trip Application

2025 - 2026
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Marital Status

SingleMarried
Gender

MaleFemale
Occupation
Physical Fitness Condition

PoorFairGoodExcellent
Briefly describe any medical conditions or disabilities.
If you speak any other languages besides English, list below.
List any previous mission trip experience.
If you currently attend a church, would you please tell us the name and location of that church?
Select the trip:*

Ecuador: October 28 - November 9, 2025North Africa: December 4 - 12, 2025Guatemala: March 14 - 23, 2026Southern Asia: May 18 – June 3, 2026 (see fitness requirements on website)Kenya: September 15 – 28, 2026
Why do you want to participate in this mission trip?
Cost & Deadlines to sign up for these trips:

Ecuador:

Deadline - August 22, 2025

Cost - $1,900

North Africa:

Deadline - Sept 12, 2025

Cost - $1,500

Guatemala:

Deadline - October 31, 2025

Cost - $2,500 (includes international airfare)

South Asia:

Deadline - December 15, 2025

Cost - $2,500

Kenya:

Deadline - February 20

Cost - $5,000 - $5,500

Please note that these costs cover all meals, lodging, in-country travel, and the program fee. It does not include personal expenses such as airfare, transportation to and from your U.S. departure airport, or personal spending money.

Once we receive your submission, we will call you to follow up.
Should be Empty: