Mission Trip Application 2023
Please fill out this form and click submit.
Name as it appears (or will appear) on passport
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Date of Birth
*
Age at trip's departure
*
Mission trip(s) applying for
*
Passport Number (overseas trips only)
Passport Expiration Date
Are you a member of Fannin Baptist Church?
*
Please select one option.
Yes
No
In what ways are you currently serving?
*
Check each statement you agree with and initial below
*
Please select all that apply.
I agree with Fannin's Statement of Faith
I agree to abide by the Code of Conduct
I understand that attending trip meetings is NOT optional
Initial
*
Are you requesting a scholarship?
*
Please select one option.
Yes
No
Amount
I understand that I am responsible for the cost of my trip. Any amount not covered by my scholarship must be paid prior to the trip unless other arrangements are made. If I am unable to go on the trip for any reason after the tickets are purchased, I will be responsible to reimburse the church (including scholarship).
Signature (I understand that this will serve as my digital signature and acceptance of the terms of this application)
*
Today's Date
*
Submit
Description
Please fill out this form and click submit.
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