Short-Term Trip Application 
 We are so glad you are interested in joining a mission trip with us this summer! To apply, please fill out the information below.

IMPORTANT INFORMATION

Passports

  • Passports are required for every person attending the trip (must be valid for at least 6 months after the last day of your trip).
  • If you do not have a passport, you need to apply for one immediately and pay for it to be expedited. You can learn how to do this at travel.state.gov.
  • DO NOT WAIT TO APPLY FOR PASSPORTS.  Failure to do so, may result in you not going on the trip.

Support Raising

  • You need to begin prep for support raising immediately so you can get started once accepted.
  • Have a list of 30-45 people and their contact info by our next meeting.
  • Antioch BR Policy is that all trip members contribute 25% of the finances of their own trip.
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Which trip are you applying for? *
Your Full Legal Name (as it appears on passport) *
Your Email *
Your Phone Number *
Your Birthday *
MM
/
DD
/
YYYY
Gender *
Passport Country *
Country of Residence *
Passports (IMPORTANT)
All team members must have passports that are valid at least 6 months after the final date of the trip. If you do not have a passport or yours will expire before 6 months after the trip, you must apply for a new one immediately.

DO NOT WAIT TO APPLY FOR PASSPORTS. Failure to do so, may result in you not going on the trip.
Your Passport Number
(if applying for a new one, just put 1234)
 *
Your Passport Expiration Date
Are you applying as a family? If so, list each members' full legal name (as it appears on passport), birthday, passport number and passport expiration date.

List each member on a new line. Ex. Jane Doe, 06/19/1999, 12345678, 03/22/2026.
Emergency Contact Name *
Emergency Contact Phone Number *
What is your emergency contact's relation to you? *
(i.e. mom, dad, grandmother, etc.)
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