Mission Trip Interest Form

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Work Entry

Added: 10/6/2025

PERSONAL INFORMATION

First Name

First Name cannot contain special characters such as quotes, parentheses, etc.First Name cannot contain emojis or special fonts.

First Name is required.

Last Name

Last Name cannot contain special characters such as quotes, parentheses, etc.Last Name cannot contain emojis or special fonts.

Last Name is required.

Email address is not valid

Email is required.

Mobile Phone

Mobile Phone is required.

Give your consent to receive SMS messages by simply checking the box.

Birthdate

/ / Birth Date cannot be a future date.

Campus

Campus is required.

MISSION TRIP INFORMATION

Please indicate below the mission destination(s) that interest you: (Check all that apply)

Honduras (El Ayudante): June 14-20 2026 Chicago (Convoy of Hope): July 2026 Uganda (Local Churches): July 17-26 2026 Brazil (Restoration Ministries): September 2026 Colombia (e3 Partners): October 2026 Bulgaria (Local Churches): Dates TBD Guatemala 1 (Filter of Hope - Adults): Dates TBD Guatemala 2 (Filter of Hope - Kids): Dates TBD Costa Rica (Filter of Hope - Kids): Dates TBD England (Local Churches): Dates TBD Dominican Republic (Local Churches): Dates TBDPlease indicate below the mission destination(s) that interest you: (Check all that apply) is required.

If you have ever participated in a Mission Trip, please briefly describe your experience:

If you have ever participated in a Mission Trip, please briefly describe your experience: is required.

REFERENCES

List three (3) individuals from this church who could be contacted for a personal reference. Please take time to see that phone and e-mail are complete and correct. Your application will be returned if we cannot contact all references.

At least one reference should be from a pastor or church staff member.

Pastoral or Church Staff Member Reference:

Full Name

Full Name is required.

Phone Number

Phone Number is required.

Email Address

Email address is not valid

Email Address is required.

Reference #2:

Full Name

Full Name is required.

Phone Number

Phone Number is required.

Email Address

Email address is not valid

Email Address is required.

Reference #3:

Full Name

Full Name is required.

Phone Number

Phone Number is required.

Email Address

Email address is not valid

Email Address is required.

Submit