Mercy for Mamas

2019 Mission Trip Application

Trip Application

Required information for applying for the October trip to Uganda.

Step 1 of 2

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  • 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.