Mission Trip Application Form
Dear trippers, please have your passport ready to fill in the following. This form takes about 10mins to complete. Fill in BLOCK letters and click the 'SUBMIT' button at the bottom to complete your application.

Note: Parental consent required for those aged 18 years and below. Applicant 10 years old and below must be accompanied by parent.

Departure Date
The date you leave Singapore. Fill in dd/mm/yyyy format.
Your answer
Return Date
The date you arrive Singapore. Fill in dd/mm/yyyy format.
Your answer
Given Name *
According to your passport
Your answer
Surname / Family Name *
Your answer
Gender *
Date of Birth *
For purchase of travel insurance. Fill in dd/mm/yyyy format.
Your answer
Nationality *
Your answer
Passport Number *
Your answer
IC/BC Number *
Identity Card or Birth Certificate Number. Applicant of age 10 years and below must be accompanied by parent/s.
Your answer
Passport Issue Date *
dd/mm/yyyy
Your answer
Passport Expiry Date *
dd/mm/yyyy
Your answer
Place of Issue *
Your answer
Occupation
Your answer
Mailing Address *
Your answer
Contact Number (Home) *
Your answer
Contact Number (Mobile) *
Your answer
Email Address *
Your answer
Kairos Course Attendance *
I understand that I must obtain the Kairos Course Certificate to qualify for participation in QLC/LCS’s organised mission trips.
Church *
Which church or congregation do you attend?
Ministry
What is your church involvement? E.g. Sunday School, Mission Board, Bible reader etc.
Your answer
Have you been to any mission trips? *
Expectations from the trip *
State your personal reasons for applying and what you hope to achieve from this mission trip.
Your answer
Purpose of Trip
Which of these areas do would you be able to be involved in? E.g. Medical, Worship and Music, Women's ministry, Youth ministry, Children's ministry, Recce, Study etc
What are your strengths/ talents/ gifts?
Be honest and generous to share your talents and strengths, so we can allocate your roles.
Your answer
Health Declaration
As medical facilities are not easily available in the mission fields, please list your medical conditions that may limit your participation, allergies (drugs, food, stings, etc), special dietary needs and medications you are currently taking. If you do not wish to declare your health condition in this form, please let the appointed Team Leader know in person.
Medical Declaration *
Fill 'NONE' if you have no medical conditions to declare.
Your answer
Financial Subsidy
Please fill the final two questions below only if you require subsidy. Otherwise, you may leave them blank. Kindly refer to our guidelines on subsidy application on QLC website for more details.
Employment Status
Number of times you have received subsidy from QLC for mission trips.
By completing and submitting this form, you declare that all information stated herein is true and accurate. You will also undertake to participate in all the training sessions as required by the Mission Board. THANK YOU FOR SERVING THE LORD WITH US!
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