COTW Mission Trip Application
Apply to join a COTW mission team between 2026–2028
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Marital Status
*
Single
Married
Gender
*
Male
Female
Occupation
*
Physical Fitness Condition
*
Poor
Fair
Good
Excellent
Select the trip/s:
*
North Africa: October 8-17, 2026
Ecuador: November 6-19, 2026
Cambodia: January 19 - February 2, 2027
Brazil: March 11-22, 2027
South Asia: May 17 - June 2, 2027 (see fitness requirements on website)
Guatemala: October 15-25, 2027
Kenya: January 18-31, 2028
Why would you want to participate on the trip(s) you selected?
*
List any previous mission trip experience.
*
If you speak any other languages besides English, list below.
If you currently attend a church, would you please tell us the name and location of that church?
Mission experiences can sometimes be stressful, challenging, or demanding. Briefly describe any physical or mental conditions, disorders, disabilities, or limitations that could affect your performance individually or the team.
*
Once we receive your submission, we will call you to follow up.
Submit
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