Mission Trip Application
2024
Which trip(s) are you interested in?
*
Slovakia: June 21-30, 2024 (CLOSED)
Alaska: June 22-29, 2024 (CLOSED)
El Paso: Sept 28-Oct 5, 2024
Contact Information
Name
*
First Name
Last Name
Nickname
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Cell Phone Number
*
Email
*
Birthdate
*
-
Month
-
Day
Year
T-Shirt Size
*
Please Select
S
M
L
XL
2XL
3XL
Have you ever been on a mission trip?
Yes!
Not Yet!
If you answered yes, where have you traveled for mission?
Please list any physical limitations:
Passport Information
Passport Status:
*
I have a passport (fill in information below)
I am in the process of applying for a passport (fill in your name below)
Name as it appears (or will appear) on your passport:
*
Ex. John Michael Smith or John M Smith or John Smith
Passport Number
Expiration Date
-
Month
-
Day
Year
Personal Profile
What will be your greatest contribution to the team?
*
Why do you feel called to go on this mission trip?
*
How would you describe your relationship with Christ?
*
List individual skills (i.e. music, singing, art, teaching, construction, etc.) and provide additional details that will paint a clear picture of your gifts and talents.
*
What are your goals for the mission trip?
*
How do you see this experience as a step in your journey toward being an everyday missionary?
*
Trip Deposit
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$100 Non-Refundable Deposit (plus $5 processing fee)
$
105.00
Credit Card
Submit
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