(816) 334-7190 [email protected]

Missions Trip Application

Basic Information

Passport Expiration Date YYYY-MM-DD

Date of Birth YYYY-MM-DD

Spiritual Information

Have you been on a missions trip before? YesNo

Health Information

Have you had any? Fainting SpellsHeart ProblemsDiabetesNervousnessAllergiesDigestion ProblemsHigh/Low Blood PressureAsthmaHearing Problems

Does your healthcare work overseas? YesNo

Would you say your in good health? YesNo

Emergency Contact Information

Other Information

If you are dating/engaged, is the other person applying also? YesNo

Have you ever been convicted of a crime? YesNo


Please give us two references to call who can vouch for your spiritual life.

Equipping Leaders

Multiplying disciples through training, development, and opportunity.

Radical Compassion

Making a measurable difference by meeting physical needs.

Proclaiming Good News

Communicating the whole Gospel with the whole world.