Mission Trip Application Form

Thank you for your interest in serving God through our Global Mission ministry at Plymouth Covenant.

Please complete and submit this form. The trip leader will contact you once the team members have been prayerfully selected. Upon acceptance to the team, your trip deposit of $300 per individual or $600 per family will be due. If you do not hear from a trip leader within 10 days, contact our Mission Facilitator .

Name*

First NameLast Name

Age*

Email*

example@example.com

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState

Zip Code

We are currently accepting applications for the mission trips as listed below. If you would like information about other mission opportunities or future mission trips, email mission@plymouthcovenant.org.

I am applying for the mission trip to:*

Why are you interested in serving on this mission team?*

What are some of your gifts, abilities, strengths or interests?*

What do you hope to accomplish on this mission trip?*

How do you anticipate this mission trip will personally stretch you?*

Have you had any prior cross-cultural or mission trip experiences? If yes, explain below.*

Describe your personal relationship with Jesus:*

Where do you regularly attend church? How are you currently serving God?*

Do you have any personal health issues or diet restrictions? If yes, explain below.*

Trip participants are ultimately responsible for 100% of their trip costs. Are you prepared to pay your trip fee of $300/person or $600/family (due upon approval of this application) and any outstanding amount in your personal account that is not covered by support from others?*

YesNo

At Plymouth Covenant Church it is our expectation that everyone who goes on a mission trip is interested in supporting our global mission program. Are you willing to fully participate in our church mission fundraisers both as you prepare to go on your trip and also long after your trip is finished?*

YesNo

Additional Comments: