Review the below checklist to ensure your passport is current and eligible, as well as the required documents to be submitted with your mission application. Once the entire form is complete, attach this form to the top of all other required documents, place in an envelope (do not fold) and submit to Pastor Ty or Lady Taryn. Do not email this form or the application.

**All documentation must be submitted on or before December 31, 2019. Incomplete applications, to include missing required documentation, will not be considered.**

Information submitted will be held in confidentiality with Pastor Ty & Taryn, and our missionary organization partner.
Passport Expiration – Is your passport due to expire within the year? *
Has your name changed or will it change from what is currently showing on your passport? *
If you answered "Yes" to the previous question, then your new passport must reflect the name change. If the new passport has been ordered and not yet received then write the new name as it will appear on the passport as well as the date in which the new passport was ordered.
Your answer
Do you have at least three (3) or more pages available in your passport (if not, request additional pages from the State Department) *
Required Additional Documents
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