Trip Application

Which trip are you applying for? *

Name - Full name and exact spelling as it appears/will appear on your passport *

First Name Middle Name Last Name

Birthdate *

Date

Age on trip start date *

Gender *

Marital Status *

Single Married

If married, spouse's name

Do you have a current passport? *

Yes, I have a current passport No, I do not have a passport No, the one I have is expired or will expire within 6 months of the travel dates

Country of Citizenship *

How did you hear about this trip? *

Mailing Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email *

example@example.com

Parent email if under the age of 18

example@example.com

Phone Number *

Area Code Phone Number

Occupation *

i.e. student, stay-at-home parent, manager at Trader Joes, business owner

How long have you been at Bridgetown Church? *

Are you in a Bridgetown Community? *

Yes No

If yes, who are your Bridgetown Community Leaders?

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Medical Conditions: Please check all that apply

If you checked any of the above, or added an "other", please provide brief details and dates

Is there any medical condition (past or present) that would be helpful for us to know about?

Medications *

If none, please put N/A

Allergies *

If none, please put N/A

Dietary restrictions and food allergies *

If none, please put N/A. Keep in mind, not all locations will be able to accommodate dietary restrictions and food allergies, so please plan accordingly.

Is there any reason you cannot tolerate any of the following?

Rigorous outdoor activity High temperatures

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Write a brief paragraph describing you relationship with Jesus *

Why do you desire to serve on this team? *

What are your primary strengths, gifts, and abilities you'd contribute to this team? *

How have you grown in your apprenticeship to Jesus over the past year and what have you been involved in/pursued that has fostered growth? *

i.e. BT community, spiritual disciplines, community engagement, etc.

In what ways are you involved at Bridgetown and/or other ministries *

i.e. serving with kids, volunteering with RCC, etc.

Previous serving experience, locally and abroad. (Please include the organization, location, and duration of time served).

Please list any languages you are conversational or fluent in speaking:

Is there anything else you would like us to know about you?

i.e. I can complete the Cinnamon Challenge, identify with enneagram 9, and studied sociology in undergrad

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The information on this application is accurate and true to the best of my knowledge.

I understand that once I submit this application, someone will be in touch with me to set up a brief interview with the team leader of this trip. I acknowledge that by submitting this application, I am not automatically added to the team.

I understand that once given the green light of the team leader, I agree to set up a fundraising platform and account with Pure Charity using the specific link I will be issued to place me on the appropriate team. This account will be set up within two weeks of my approval to the team and I agree to make a deposit of $25 to complete the registration, and understand that I am responsible for the full price of the trip.

I also understand that any funds not raised by support at my trips set payment dates will be charged to the credit card I will provide.

Please note: All donations, support, and gifts to the Bridgetown Church, with an expression of a preference for my trip expenses, are tax deductible to the extent allowed by law, and as such are non-refundable.

I agree *

YES!

Name *

First Name Middle Name Last Name

Today's Date *

Date

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Trip Application

General Health

A Bit More About Yourself

Authorization and Agreement