Short Term Missions Trip Application

What trip are you applying for? *
NOTE: All applications require a $150 non-refundable deposit for each trip you are applying for.
PERSONAL INFORMATION
Date *
Date
Address *
Address
Birthday *
Birthday
Phone *
Phone
Expiration Date
Expiration Date
Date of last tetanus shot
Date of last tetanus shot
What is your T-Shirt size *
Are you interested in being the team photographer or videographer?
EMERGENCY INFORMATION
Name
Name
Address *
Address
Phone *
Phone
HEALTH INFORMATION
Phone *
Phone
Rate Your Health *
Have you ever had any physical handicaps
Are you presently taking any prescription drugs? *
Do you have any allergies? *
Does your doctor have any reservations about you taking a missions trip? *
SELF-ANALYSIS

How to submit your deposit or missions trip payments:

  1. Press "Submit Deposit Here" button below.
  2. Enter the non-refundable deposit amount ($150 minimum).
  3. Select the giving type "Missions- Specify in Memo" by using the drop down arrow.
  4. Place the designated applicant name and trip name in the memo.
  5. Follow the remaining instructions to complete the payment.