Mission Trip Application | Victory Church

Today's Date

Personal Information

If applicable, please type your name as it appears on your passport.

Email*

Name

First Middle Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Mobile Phone

Date of Birth

Citizenship

Do you have a Passport?

Yes
No

Name on Passport

First Middle Last

Passport Number

Expiration Date on Passport

Home Chuch Name

Pastor's Name

First Last

Are you fluent in another language?

Yes
No

If yes, which one?

Current Occupation

Areas of skill that you feel may be beneficial to the trip

Children Care
Cooking
Construction
Language
Medical
Photography
Preaching
Teaching
Other

If "Other", what other area(s) of skill?

List your previous international travel experience if any.

Describe any special dietary requirements.

Describe the state of your physical fitness (include any physical limitations etc.).

Briefly describe how you came to know Jesus Christ as your Savior.

How have you grown in your relationship with Christ this past year?

Short-Term Mission Teams

Please indicate to which trip you are applying.

Adult Trips

**Please Note: submitting this application does not secure you a place on a team. You will officially be added to a team once you have submitted your $100 deposit for a team of your choosing. Your confirmation email explains how to pay your deposit.