Destination of your Mission Trip:
Mission Trip Dates: mm-dd-yyyy
Start:
End:
Please provide any of the following contact information for another campus ministry who would desire this type of work.
Contact Person:
Missions Agency:
Phone number:
Email:
Website:
Is there a minimum or maximum number of team members for this trip?
Minimum:
Maximum:
Please give two or three sentences to describe the type of mission work- where on the spectrum did your group minister in “word & deed.”
e.g. Christian maturity, cross-cultural experience, language, physical requirements, etc…?
Is there a suggested time period for preparation and team building for this trip?
Fees: Vaccinations: Insurance: Lodging: Food: Transportation to location: Transportation at location: Other: Total Costs:
With 1 being low and 5 being high, please rate…
Please give two or three sentences to describe your student’s responses to the mission’s experience- including the impact it had on their faith.
Please give two or three sentences to describe the preparation, guidance, hospitality , and interaction of your hosts/host agency.
Your Name:
Campus Ministry you represent:
Phone Number:
List my contact information with the report: Yes No
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