Thank you for applying for the Kenya Mission Trip. Once you submit your application and supporting documents you will receive notification within 7 days about whether or not you have been selected for the trip. To complete this application you will need your driver's license and passport, names and contact information for 3 references, and your testimony of how and when you accepted Christ.

You can pause and return to this application at a later time using the same device until you click submit.

Approximate travel dates November 30th – December 8th 
Deadline for applications is September 1, 2019. Space is limited. 

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* 1. First name (Please use your LEGAL name)

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* 2. Middle name (if none leave blank)

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* 3. Last name (Please use your LEGAL name)

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* 4. Date of birth

Date

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* 5. Gender

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* 6. Primary Email for Correspondence

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* 7. Alternate Email

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* 8. Cell Phone Number xxx-xxx-xxxx

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* 9. Home Phone Number   xxx-xxx-xxxx

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* 10. Street Address

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* 11. City/Town

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* 12. State

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* 13. Zip Code

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* 14. If you are selected for this mission trip what airport(s) would you like us to look at for flights with the team or prefer to book your own to arrive at the same time as the team?

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* 15. Are you a U.S. Citizen

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* 16. Occupation (nurse, homemaker, engineer, student, etc.)

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* 17. Name of employer if employed outside the home. 

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* 18. If a student, please list the name of your school.

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* 19. If a student, please list your grade in school

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* 20. Name as it appears on passport.

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* 21. Passport Number.

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* 22. Passport Expiration Date.

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* 23. Place of Issue (Country, State, & City)

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* 24. Date of Issue

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