2026 Short-Term Mission Trip Application

This application is for the HIS Eyes Honduras Adult Mission Trip
Trip dates are October 3-10, 2026
The total trip cost estimate is $1,500/person
A deposit of $200/each must be submitted with the application

Personal Information

Name (as it appears on passport or driver's license)

First NameLast Name

Passport Number (International Trip)

Passport Expiration Date

Birthdate

Date

Gender

Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Church Affiliation

Are you a member at Creekside Christian Church?

Where do you attend church?

Pastor's Name

Pastor's Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Mission Trip Experience

Have you ever been on a mission trip before?

Where did you go on your previous mission trip?

Why do you want to go on this Mission Trip?

Describe your relationship with Jesus Christ. If you are new to the faith or unsure of your faith, that is okay. Our prayer is that this trip will help you in your faith journey.

Skills by trade or hobby.

T-shirt size

Best day and time for meetings.

Name

First NameLast Name

Emergency Contact #1

Relationship

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Emergency Contact #2

Name

First NameLast Name

Relationship

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Medical Information

Medical Insurance

Policy #

Family Doctor

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Family Dentist

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

List all known medical conditions, physical limitations, prescriptions and allergies.

Deposit

10% of total trip cost, plus administrative fee outlined below.

Administrative fee of $50.00 covers cost of background check and trip insurance, both required for all Creekside mission trips. Both of these costs will be applied to total trip cost.

Ministry Background Checks

Team Members requiring an updated Background Check will receive a link to fill out the necessary information for a background check. After completing the link, the applicant will receive an email from Checkr.
The email must be opened, and the information must be verified by the applicant. The email is time-sensitive and failure to open the email will cause the process to become incomplete. If you don't see the email, please check your Spam or Junk folder.
Please make every effort to complete this Background Check Request within 7 days. If you have any issues, please contact missions@creeksidechristian.com.

Faith Venture’s Basic Plan Trip Insurance (National & International) includes, but is not limited to, the following:

Emergency Evacuation- $50,000
Illness Medical Expense- $25,000
Accident Medical Expense- $25,000
Security Evacuation- $100,000
Repatriation of Remains - $25,000
Accidental Death - $15,000
Missed Connection - $500
Trip Delay- $100
Baggage Loss - $500
Baggage Delay - $50

This fee is included in the trip cost, but if you’d like more information, please consult: https://www.faithventures.com/basic-plan/

Team Member Financial Commitment

Team Member Financial Commitment

As a Short-term Team Member, you are expected to fund 100% of your trip costs, but we encourage you to involves others for both prayer and financial support. A deposit of $200 is required to reserve your spot for this mission trip. Your deposit becomes non-refundable once your application is approved. Your deposit includes a $50 administrative fee, which covers trip insurance and background check.

Refunds of contributions will not be made. If you are unable to participate in this trip, you may request a transfer of funds to a future trip or to a different team member. This will be considered on a case-by-case basis. Donations made by someone else to your trip cannot be refunded.

All contributions should be made out to Creekside Christian Church with only your mission trip specified. Please be sure that a note (or envelope) with your name and mission trip is attached to the donation so that the funds will be deposited to your trip account. If a receipt is desired, please have the individual so indicate. You are personally responsible for the cost of your passport and immunizations.

If you are planning to raise support, you are encouraged to send out at least 10 letters. Samples have been provided to your team leader for your use. These letters will be sent out at your expense. Please speak with your Team Leader to find out how you can receive donations online.

Please plan to attend all Team Training Sessions/Meetings for this Mission. Meetings may include some delegated tasks, homework, reading, and prayer assignments.

My signature below indicates that I acknowledge that I have read and agree to the commitments outlined above.

Printed Name

Signature

Date

Code of Conduct Agreement

Creekside Christian Church asks that each participant abides by this Code of Conduct:
I agree not to use any form of alcohol or tobacco while on the mission trip. Gambling, alcohol, tobacco, or any illegal substances will not be tolerated at any time during the mission trip.

I agree to treat all team members of the opposite gender as brothers and sisters in Christ.

I agree to avoid any romantic relationships with the nationals and also with fellow team members.

(If there is already a romantic attachment between team members, they should be sensitive to other team members as well as the culture they are visiting. This includes time alone, physical displays of affection, and any distraction among the team.)

I agree to avoid controversy and antagonism. Creekside Christian Church asks that each candidate refrain from expressing their political opinions while on this mission.

I understand the team leader on this Mission, and the Missionaries with whom we work, have the final authority. They should be treated with respect at all times.

I understand that if at any point I become a liability to the team, I can be sent home at my expense.

*Please remember, at all times, while on the mission field and while traveling, you are a representative of Jesus Christ and of Creekside Christian Church. You are always a witness to those around you.

In order to ensure the safety and effectiveness of this mission, as well as to promote a positive atmosphere conducive to evangelism and discipleship, I, Name* will act according to Christian principles and follow the guidelines in this Code of Conduct laid out by Creekside Christian Church and its leaders.

Signature

Date

Liability Waiver & Photo Release

The information in this application is correct to the best of my knowledge. I agree to be the best representation of Christ and Creekside Christian Church. I, Name*, am voluntarily participating in the short-term mission trip and I am participating in the activity entirely at my own risk. I assume all related risks, both known or unknown to me, of my participation in this short-term mission trip. I agree to indemnify and hold harmless Creekside Christian Church against any and all claims, suits or actions of any kind whatsoever for liability, damages, compensation or otherwise brought by me or anyone else on my behalf.

I give authorization to Creekside Christian Church to use my image (photographs and/or video) for use in media publications for promotional purposes.

Signature

Date

SHORT-TERM MISSION TRIP APPLICATION - ADULT