MISSION TRIP APPLICATION

Before applying for a trip, click here to read important information about traveling with Outreac h.

Fill out the form below to apply online for a mission trip or click here to download a paper copy of the application to print and mail to The Outreach Foundation.

Trip for which you are applying:

Dates of Trip:

For Accommodations:

Single Occupancy

Double Occupancy

Name as it appears on passport:

Name you prefer to be called:

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

####

Email Address

Home Church/City/Denomination

Date of Birth

YYYY

Passport number:

Passport Place of Issue

Passport Date of Issue

YYYY

Passport Date of Expiration

YYYY

Please describe your current or recent employment and/or volunteer activities.

Have you gone on short-term mission trips before? If so, to where? When? With whom?

Outreach Foundation mission/vision trips are designed to build support for and connection to God's work around the world. With that in mind, how might your participation in this trip impact you, and how might you engage your congregation (and/or Presbytery) upon your return?

Emergency Contact:

Contact's relationship to you:

Address:

Cell phone:

(###)

###

####

Email address:

Do you have physical/emotional health issues Outreach should know about if you travel with us?

CONFIDENTIAL MEDICAL INFORMATION FOR OUTREACH USE ONLY

In case of a health emergency, please list prescription medications you are taking:

CONFIDENTIAL MEDICAL INFORMATION FOR OUTREACH USE ONLY

Do you snore heavily or are you a light sleeper? (You are likely to have a roommate, and this info helps us to make appropriate pairings.)

Do you have any dietary restrictions? If so, what will you need to do to provide for your needs?

Before you submit your application, make sure to download the Waiver of Liability and Emergency Authorization, and email the signed form along with a copy of the photo/information page of your passport to carol@theoutreachfoundation.org. You may also mail the forms with your $150 deposit to hold your place on the trip to:
The Outreach Foundation
381 Riverside Drive, Suite 465
Franklin, TN 37064

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