Mission Trip Funding Application

Mission Trip Funding Application

Please complete this form in its entirety.
The cost of all Belmont on Mission trips has already been reduced thanks to the generosity of donors who want to help remove financial barriers for students who want to particpate in our trips. However, in cases of individual financial need that goes beyond the already subsidized trip fee, we have an additional fund reserved to help students afford the costs.

Funds will be awarded at the discretion of University Ministries staff based on information provided in this application by students.

In order to receive funds, students must agree to the following:
1. Utilize the tool provided by Belmont on Mission to seek outside funding from friends, families, and other donors.
2. Write a post-trip reflection about the trip and its impact on your life.
If you have any questions, please contact Tim Wildsmith (Assistant University Minister and Director of Missions & Outreach: tim.wildsmith@belmont.edu
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
BUID
Major/Area of Study
GPA (after your last completed semester)
Year/Classification
Are you in good standing with the University?

YesNo
If no, please describe why.
For what trip are you applying for financial subsidy?
What is the total trip fee/cost?
What amount are you requesting from Belmont on Mission?
What other sources of funding have you sought out for assistance? Have you begun any form of fundraising?
Have you received any of these funds, and if so, what amount?
Have you received funding from Belmont on Mission for past trips? If yes, what trips and what amount?
Please describe your financial situation (family and personal) and the factors that contribute to your financial need. Be as thorough as you can.
I understand that any false statement by me in this application will be cause for my rejection or dismissal from the Belmont on Mission program.
E-Signature*
Please verify that you are human*
Should be Empty: