Your Name *

First Name

Last Name

Birthday *

MM

DD

YYYY

Do you have a current passport? *

Yes

No

Yes, but needs to be renewed within next 6 months

If so, is your spouse supportive of this trip?

Yes

No

Are you under the age of 18? *

Yes

No

As representatives of Jesus Christ, you are responsible to demonstrate a lifestyle consistent with His character and are expected to be men and women of high moral character and whose sexual conduct is consistent with the standards of Scripture. This includes abstaining from any pattern of addiction and from homosexual, premarital, and extramarital sexual conduct. I agree to abide by this: *

Yes

No

I understand that I will be required to fill out a background check before acceptance on the team and commit to paying the fee (approximately $25) *

Yes

No

This trip does require the raising of financial support under the direction and coaching of team leadership. I am committed to raising support for my cost to join the team on this trip and recognize that failure to meet fundraising deadlines may result in forfeiture of my place on the mission team. (Cost will be communicated no later than the first team meeting. Cost for Guatemala to be between $1,200-1,500 and for Cambodia to be between $3,200-3,700) *

Yes

No

I recognize the importance of attending all team meetings to be prepared mentally and spiritually for this trip and commit to miss no more than one team meeting. If I do miss one meeting, I commit to have a phone call with the team leader to review the content of that meeting: *

Yes

No

Today's Date *

MM

DD

YYYY