2027 Kenya Mission Team Interest Form/Application
Kenya Mission Trip
Email *
Dates: June 18 - July 3, 2026

Thank you for your interest in participating in the God’s Secret Service Agent Foundation Mission Trip to Kenya to support the work of Super Eagles Academy and the activities of the River of Life-Lee and Bryan Pace Community Center. 

Please complete this form to indicate your definite plan to participate in the trip by July 1, 2025.
Section 1: General Information
1. Full Name: *
2. Current Address: *
3. Phone Number:  *
4. Email: *
5. Birthday: *
MM
/
DD
/
YYYY
6. Age: *
7. Gender: *
8. Marital Status:
If married, Spouses Name:
 *
9. Current Occupation/Volunteer Work: *
10. Emergency Contact:
Name:
Relationship:
Phone Number:
 *
Section 2: Travel Information
1. Do you have a current passport?
If yes:
Passport Number:
Issuing Country:
Expiration Date:
 *
3. International Travel Experience:
List of countries visited:
Purpose of visit:
 *
Section 3: Experience, Skills, and Interests  

1. Describe any previous mission or cross-cultural experience. *
2. List practical skills you can contribute during the mission (e.g., singing, dance, crafting, sewing, decorating, sports, construction/building, painting, computer technology, leading groups of children or adults). *
3. Describe your experience working with children, women, church, or community groups. *

4. Why do you want to participate in this short-term mission trip?

 *

5. What do you hope to gain from participating in the mission trip?

 *
Section 4: Commitment and Signature
Signature:
Date:
Please submit the completed form by July 1, 2025.

For any questions, contact Dr. Vivien Lattibeaudiere at gssagent002@gmail.com



A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms