Missions Trip Application

Missions Trip Application Form
Todays Date

MonthDayYear
Date
Personal Info
Your Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth

MonthDayYear
Date
Passport Number
Passport place of issue
Passport Expiration Date

MonthDayYear
Date
Mission Organization
Title of Mission Traveling with
Organization/ Emergency Contact

First NameLast Name
Phone Number

Area CodePhone Number
Location of Mission (Address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
About you
Months/years regularly attending Life Church
Why do you desire to go on this specific trip?
How are you anticipating this trip will impact your relationship with God?
How will your involvement strengthen the trip?
What positive affect do you expect the team/you will have?
Trip Info
What is the mission/purpose of this trip?
Describe the ministry (attach information or web address)
Names of anyone traveling with you from Life Church
Mission Trip start date

MonthDayYear
Date
Date of conclusion

MonthDayYear
Date
Mission location (if more than one place)
List any specific outreach ministry activities attached to this trip
Your current needs (besides funds) i.e.: materials, prayer coverage, team members)
Total cost of the trip
Total cost of the trip
Latest date to receive funds by

MonthDayYear
Date
List the ways you have sought help to fill any of the needs so far
References
Reference (non- family member)

First NameLast Name
Phone Number

Area CodePhone Number
Mentor and/or Pastor

First NameLast Name
Phone Number

Area CodePhone Number
Should be Empty:

Missions Trip Application Form

Personal Info

Mission Organization

About you

Trip Info

References