MISSION EXPERIENCE 2026 APPLICATION FORM
HEALING HEARTS MISSION ZAMBIA
ABOUT MISSION EXPERIENCE
Mission Experience is a powerful, week-long outreach that unites volunteers and communities in Zambia and across the world to share the love of Christ through service. Each day is filled with meaningful activities: • Local games and cultural exchange. • Free health and wellness support for the vulnerable children. •Bible teaching and gospel outreach to the children. • Literacy and life skills development. • Gift sharing and community care. It’s a hands-on mission that brings hope, healing, and transformation—to others and to you.
DATES FOR MISSION EXPERIENCE 2026
18th April, arrival date in kitwe, 19th April, Mission experience begins and 24th April, 2026 mission experience ends.
APPLICANT INFORMATION
Please fill in with accurate information
Applicant Full Name
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First Name
Last Name
Primary phone number
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-
Area Code
Phone Number
Secondary Phone Number
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-
Area Code
Phone Number
Email
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example@example.com
Gender
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Male
Female
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
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Country
How did you hear about us
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Has this applicant been to Zambia before
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Yes
No
If yes, state how many times
Which church do you attend
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Please select any dietary restrictions that apply to this applicant
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Vegan
Vegetarian
Gluten allergy
Nut allergy
Dairy allergy
None
Other
Do you have any additional health information we should know about?
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Are you interested in adding on a side trip vacation to your mission experience trip? If you would like to, if yes, please add more information
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Healing Hearts will send you details of the requirements for a side trip
Which group of children would you prefer to have? (Please note: all male applicants will be assigned to groups of boys.)
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Girls group
Boys group
(Optional) If you have a particular area of expertise or gifting that you would be willing to share during the mission experience—whether with our staff or the children—please let us know. We welcome your involvement in ways that enrich our community and impact lives.
If you have a skill or area of expertise to share during the Mission Experience—such as in medical professional volunteer at the mission experience clinic, teaching, social work, counseling, music, sports, or vocational training—we’d love to involve you in serving our children and staff during mission experience.
NEXT OF KIN
Information
Next of kin full Name
*
First Name
Last Name
Email
*
example@example.com
Primary Phone Number
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-
Area Code
Phone Number
Secondary Phone Number
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-
Area Code
Phone Number
State the relationship to the next of kin
*
What are the cost and deadlines to pay for Mission Experience 2026?
Total cost for Mission Experience 2026 trip is $2,000; First Financial Deadline is December 1st, 2025 – $1,000 and Second Financial Deadline is March 1st, 2026 – $1,000
Other Mission Experience 2026 information
By completing this form, you are registering to participate in Mission Experience 2026 in Kitwe, Zambia. To finalize your registration, a non-refundable participation fee of $2,000 USD is required. This fee covers 7 days of accommodation in Kitwe, local transportation, daily meals (breakfast, lunch, and dinner), support for 10 children assigned to your group during the mission week, and stipends for two Zambian volunteers who will assist with daily tasks and provide translation between English and Bemba. This experience offers a unique opportunity to make a lasting impact while serving alongside local communities. After submitting this form, you will receive our banking information from our sponsorship/communication team.
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