Mission Grant - Student Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Students who are members of a CNBC church can apply for a grant toward a portion of the cost of a mission trip to a CNBC/Southern Baptist related ministry across Canada or the world.

Email *

Your name: *

Mailing Address *

Please enter Street, City, Province, and Postal code

Your age: *

Name of your School or University *

Do you attend a CNBC church? *

Yes

Name of your church: *

MISSION TRIP DETAILS

Tell us about the mission trip you wish to go on:

Describe the mission project and its purpose: *

Date of mission project: *

Please enter the start date of the project.

YYYY

Is this in a high security country? *

Yes

If yes, what are the security measures? Explain.

What is the total cost to you for this mission trip: *

Amount of grant you are requesting: *

Please note that the availability of grants is dependent on funds available. The maximum amount of a grant is $500

PERSONAL REFERENCE

Please list the contact details of a person in your church that knows you personally and is not a relative or under the age of 21.

Name: *

Address: *

Please enter Street, City, Province, and Postal code

Email address: *

Phone number: *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of CNBC.

Does this form look suspicious? Report

Forms