Mercy for Mamas

2024 Mission Trip Application

2024 Trip Application

Required information for applying for the July 2020 Uganda Trip. This application may take you some time to complete. If you need to, you can save and then come back to complete it later. Also, note that after you get to the "signature" portion, click next and there is another "Code of Conduct" form that is to be completed. If you do not have your passport information yet, please put "pending".

Step 1 of 2

  • Basic Information:

  • Personal Information:

  • If a student, put the name of your school, major, and/or grade
  • List any medications or health information we might need to know about during the trip. This information will be kept private and only shared with the team leaders, but it is critical to know in case of an emergency.
  • Please list any allergies or physical/dietary limitations that might be a factor during the trip.
  • Travel Information:

  • Emergency Contact Information:

  • Education/Skills:

  • Personality Characteristics:

  • Spiritual Assessment:

  • These next questions have no bearing on you going on the trip, but help us know who is comfortable doing what.

  • Mercy for Mamas/Trip Interest

  • For those under the age of 18:

  • Signature Section (for all applicants):

    I agree that all information contained in this application is true to the best of my ability and that is provides an accurate representation of my abilities and experiences.