Missions Application Form

Your name *

Email address *

Full Legal Name as it appears on passport *

Birthdate *

Today's Date *

Personal Information

What is your passport Number? *

What is your Passport's expiration date? *

Known Traveler / TSA Precheck Number

If applicable

Airline Rewards Number

Who is your emergency contact? List their name and phone number below. *

This person can not be on trip with you.

Do you have any medical history we need to know about? (ie. diabetic) *

Do you have allergies? *

T-shirt size

General Information

Do you have any family members also applying for the trip? *

Yes or no, if yes, list their names please.

Have you been on a missions trip before?

Yes or no. If yes, list where.

What does missions mean to you? *

Describe the HopeUC culture and what it means to you? *

How do you implement HopeUC culture in your every day life? *

What HopeUC ministry are you currently serving in? *

List all that apply.

Last piece of information...

Before you hit submit, it's important to know that all applicants are responsible for covering any costs associated with their trip including any changes or cancellations. Also all trip fees are non-refundable.