The Upward Twist Application

General Contact Information
Your Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Date of Birth*

MonthDayYear
Gender*
Email Address*
Phone Number*
Facebook Link
Instagram Link
T-shirt size
Work Experience

Share with us what you have been doing recently!
Current Occupation*
Employer*
Position
How long have you held this position?
Please list below two non-family references

Reference 1
First & Last Name*
Relationship*
Email*
Phone Number
When would the best time to reach them be?
Reference 2
First & Last Name*
Relationship*
Reference 2 Email*
Phone Number
When would the best time to reach them be?
Tell Us More About You

We don’t want to just send people on mission trips, we want to invest in the people we work with. With that said, please share with us a little more about you below.
How did you hear about The Upward Twist*
List three strengths and why.*
Tell us about your faith walk.*
Is this a faith-based trip for you?*

YesNo
Is that an important aspect for you?*

YesNo
Do you participate in local community service?

YesNo
List your local community service examples.
What has been your inspiration for participating in a medical mission trip?*
Tell Us About Your Trip

To help us understand more clearly your financial need, we want to know a little moreabout your Medical Mission trip.
Name of the Medical Mission Trip Organization*
Trip Location*
Trip Start Date*

MonthDayYear
Trip End Date

MonthDayYear
What made you choose to work through this organization?*
What is the cost of your total trip?*
Please list any timelines or deadlines for your funds to be raised.
i.e. 50% due 60 days prior, full funding due 30 days prior
Please explain in detail why you are seeking The Upward Twist’s financial help.*
What have you done or are currently doing to raise funds?*
How much funds have you raised so far?
Becoming Part of The Upward Twist Family

If you receive any form of financial assistance from The Upward Twist, we ask that you send us a reflection from your trip within 14 days upon returning, along with 5-10 photos so we can share your journey with those who have graciously donated to help get you there!
By signing below, I agree to the requirements above, and give The Upward Twist permission to feature my journey.*

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Name (Printed)*
Date*

MonthDayYear
You're Almost There

There are just a couple attachments needed to complete the application!
Resume*

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Profile image of yourself

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Application Processing Fee*

Application Fee

$25.00

Total

$0.00

Credit Card Details
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Credit Card Number	Security Code
Card Expiration

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General Contact Information

Work Experience

Please list below two non-family references

Tell Us More About You

Tell Us About Your Trip

Becoming Part of The Upward Twist Family

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