Mission Trip Application
All information from this form is held strictly confidential on secure servers and is not shared with any other entity. All information is deleted from this form once your trip begins.
For which trip are you applying? *
Name as it appears on your passport (International Trips) or Drivers License (Trips within US) Last name, First name *
Your answer
Address *
Your answer
City, State, Zip *
Your answer
Email *
Your answer
Phone (cell is preferred) xxx-xxx-xxxx *
Your answer
Birthday mm/dd/yyyy *
Your answer
Passport # (for international trips only, if you don't have your passport info yet you can still complete the rest of the information now and send passport info later)
Your answer
Passport Date of Expiration (must be valid at least 6 months after the trip return date)
Your answer
Gender (M/F) *
Emergency Contact *
Your answer
Emergency Contact Phone *
Your answer
Will you book your own travel or let us book your travel? If you book your own please take careful note of arrival and departure dates. *
Trusted Traveler Number (If you have one and we are booking your travel)
Your answer
T-Shirt Size *
Where do you attend church? *
Your answer
I agree with the Doctrinal Statement of ETC Ministries. (Review the statement: http://www.exposedtochrist.com/doctrinal.html) *
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