Immersion Mission Trips » Trip Application

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Trip Application

Personal Information
First Name				Last Name
Birthdate
Address
City				State
Country
Phone
Email
Passport Information
Passport number				Country
Valid until
Check if you don’t have a passport yet.
Mission / Outreach experience
List any previous mission experience and time spent

List any previous involvement in church-related activities

Current occupation
If Student, list grade or area of studies:

Otherwise, list profession / trade:

How are you planning to pay for this trip?
In which of these ministries would you like to be involved during the trip?
Vacation Bible school (VBS)
Door to door witnessing
Lead a drama group
Singing
Preaching
Other (explain):
By signing you agree to the following:
Attend all scheduled meetings
Collaborate in all the fund raising events
Be 100% involved in all activities related to the mission trip
Follow all the rules of the trip (no personal tours): Be with the group at all times No alcohol beverages or smoking. Only bring books or music that witness about God.
Promote outreach activities in your church.
Turn in a $100 deposit with this application by February 17, 2008 if you want to qualify for the early bird.
Signature:				Date: