COTW Mission Trip Application
2025 - 2026
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
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
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.
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:
*
Guatemala: March 14 - 23, 2026
Southern 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?
Once we receive your submission, we will call you to follow up.
Submit
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