Trip Form Trip Location * Philadelphia Dominican Republic Montenegro Summer Internship Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Birthday * MM DD YYYY Are you over 18 years old? * Yes No Do you have a passport? Only for International trips * Yes No Do you speak any foreign languages? Yes No Have you ever served on a short term missions trip before? Yes No Have you ever been involved in a crime involving a child or under age person? * Yes No Skills Indicate your areas of skill/ability/giftedness which you can share (check all that apply) Construction Music (instrument or singing) Medical Sports Evangelism / Discipleship Children's Ministry Food (cooking for large groups) Team Building Other Additional details For any of the checked boxes above, please provide additional details. Why do you want to be a part of this team? What do you expect to happen on this trip? Briefly write about how and when you became a Christian or about your spiritual journey until now: Team Expectations * I have read and agree to the Team Expectations Yes No Harm and Release Form * I have read and agree to the Harm & Release Form Yes No Date MM DD YYYY Name First Name Last Name Thank you!
