Youth Application: Summer Service Trip to Quito Ecuador 2025

Youth Application:

Youth Summer Service Trip to Quito Ecuador 2025
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Grade during the 24/25 school year:*
Congregation & City:*
Applicant's Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Full Name *
Parent/Guardian Email*
example@example.com
Would yo like to provide contact information for a second parent/guardian?

YesNo
Parent/Guardian Full Name *
Parent/Guardian Email*
example@example.com
You must have a passport to go on this trip. What is your passport status?*
Passport expiration date: *

What do you love about your church and how do you serve there?*
Why do you want to attend the EDSD Youth Ecuador Trip?*
*How do you feel this trip will deepen your faith?*
If selected I commit to meeting the following criteria:

• Submit my personal desires (privacy, food, dress, etc) to the standards of the country and program.

• Willingly obey my leaders throughout my experience and be an active participant in all programming.

• Build up my fellow team members and ministry partners.

• Participate in pre-field meetings and post-field meetings.

• Remain alcohol- and drug-free during this experience.

FINANCIAL COMMITMENT: The total financial commitment for this mission experience is $2200. The cost will be shared three ways: Youth participant contribution: $1200Congregation contribution: $500Diocese contribution: $500Fundraising will be planned after the delegation is selected. If we are unable to raise the full amount of the cost, each delegation member will be responsible for the remaining balance. If a participant withdraws after registration is completed, they are responsible for all costs associated with their registration. Substitutions cannot be made.
Signature*

Clear
Please provide the name and email address of the clergyperson or youth leader in your congregation who will nominate you.*

First NameLast Name
Nominator's Email*
example@example.com
Should be Empty: