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Please fill out the form below.  If you leave this page, your responses will not be saved, so be careful!   Once submitted, your application will be transmitted to our office and a backup copy will be sent to your inbox.  The deadline for applications (along with 2 references) for our 2018 international trips is Oct 3, 2017!

    Choose Your Trip

    Which trip(s) are you applying for?
    Cambodia 2018Freiburg, Germany 2018

    If you've checked multiple trips above, let us know your preference.

    Information About You

    Full First Name

    Full Last Name

    Middle Initial


    Cell Number

    Date of Birth

    Do you already have a passport?

    If you do already have a passport that will be valid for our trip, please provide your passport number

    Home Address

    Your major

    Year in School

    Tshirt Size

    Emergency Contact

    Emergency Contact Name

    Emergency Contact's relationship to you

    Emergency Contact's home address

    Emergency Contact's cell #

    Emergency Contact's email


    Have you been on a missions trip before?

    If you have been on a trip before, please provide some brief details. (when, where, what did you do?)

    Are you dating anyone that also may be coming on this trip?

    If yes, who?

    Why do you want to go on this trip?

    What do your parents think about you going on a missions trip?

    What do you hope to gain, learn, or experience through this trip? (Please list 2 or 3 personal goals.)

    Briefly share your spiritual history.

    How do you function as a member of a team? (i.e. Are you outgoing or reserved? Do you avoid conflict or confront it?)

    What strengths do you bring to the team?

    What are some areas in which you hope to grow through this project?

    In 50 words or less, describe the core message of the Gospel.

    Do you have any foreign language skills?

    If yes, what language(s)?

    If yes, how fluent are you?
    verydecenta littleI can ask where the library is

    We often ask students to lead workshops or classes in different areas of expertise. Check any areas you'd be proficient in:
    EnglishMusicArtSportsOther (explain below)

    If you checked "other" please provide details:

    Brief Medical History

    (All information on this application will be kept confidential.)

    Are you currently under the treatment of a doctor?

    Do you have any condition requiring special medical consideration?

    Do you have a history of psychological or emotional disorders, or limitations?

    Have you sustained any injuries that may limit your physical activity?

    Are you on a special diet that has been prescribed by a doctor?

    Have you had major surgery in the last 3 years?

    If you answered yes to any of the above medical questions, please provide an explanation for each area.

    Please list all medications you use, providing information on dosage, frequency, and reason for usage.

    List any known allergies: This includes medicines (penicillin, aspirin, iodine, acetaminophen, etc...) foods (dairy, wheat, gluten, etc...) contact with substances (plants, soaps, latex, etc...) animal allergies, and insect bites or stings:

    Has an allergic reaction ever required emergency room care for you?


    Do you understand that our preparation and training for this trip will require your full commitment?

    Do you understand that if the total amount required for this trip is not in by the deadline date, you'll not be allowed to go?

    Do you understand that once a plane ticket is purchased in your name, you are personally responsible for payment, regardless of any reason that would cause you to cancel your plans to participate in this trip?

    I agree that my role on this trip is to be a representative of Christ. I will submit to the leadership assigned to my team and have an attitude of love and service for those around me.
    I agreeI disagree

    If this form has been successfully transmitted, you will see a green confirmation box and also find a copy in your email inbox. Please do not navigate away from this page until you see that confirmation.