National/International Trip Application 2019 Please complete this application and questionnaire and return with your $150 deposit (nonrefundable) to the Information Station in the Church Lobby, to the front desk in the Ministry Center Lobby or send to: Pathfinder Missions, attn. Tara Reimann 15800 Manchester Rd. Ellisville, MO 63011
Must have both application and $150 nonrefundable deposit returned for spot on each trip to be confirmed. Space is limited, early registration is recommended. For questions about mission trips, contact Tara Reimann at 636.779.2345 or
[email protected].
PERSONAL INFORMATION Full Name:
Date of Birth:
Address:
City, ST:
Home Phone: Parents Info. (if younger than 18 years)
Male
Female
Zip:
Cell:
E-mail:
Name: ______________________________________________
Cell: ____________________________
E-mail: __________________________________
TRIP OPTIONS Chinandega, Nicaragua (May 18 – 25, 2019) College Students | 18 – 25 years. Disaster Response, Location TBD (June 5 – 9, 2019) Family Trip | Ages 10 + Seine Bight, Belize, VBS (July 6 – 13, 2019) Family Trip | Ages 15 + Wind River Reservation, Wyoming (July 13 – 20, 2019) Family Trip | Ages 15 + Chinandega, Nicaragua (July 27 – Aug 3, 2019) Family Trip | Ages 15 + Kampot, Cambodia (Early 2020, Dates TBD) *High School Trip to Portland, OR has a different application, please see the Missions web site for High School application. PLEASE NOTE: Additional trip forms will be distributed upon application acceptance. If desired trip is less than 3 months away, contact Tara Reimann
[email protected] to check availability.
FOR OFFICE USE ONLY Application/Deposit
Financial responsibility
License/Insurance Copy (Front and back)
Standard of Conduct
Risk/Liability
Motivation/Expectations
Medical Release
Consent to Travel (if applicable)
Background Check
Passport Copy
Notes: ___________________________________________________________________________
Pathfinder Church § 15800 Manchester Road, Ellisville, MO 63011 § www.stjstl.net § 636.394.4100
Application Questionnaire Please answer all questions thoroughly and return this with your application and deposit.
What prompted you to take this step toward a mission trip?
What are you most excited about/looking forward to the most for this trip?
What are you the most nervous about for this trip?
Define generosity in your own words. (Could be related to a mission trip or not.)
What are two spiritual goals you could work towards in the next six months?
What main personality trait do you believe you offer this trip and the team you will go with?
Pathfinder Church § 15800 Manchester Road, Ellisville, MO 63011 § www.stjstl.net § 636.394.4100
