Mission Trip Leader Application Form

Thank you for your interest in leading a missions trip! Please take the time to tell us a little bit about yourself and the trip you wish to lead!

Your name *

Email address *

Phone number

Have you gone a LifePoint Mission trip? If yes, please include the name of the trip and leader of the trip. *

If yes, please explain.

Do you have any experience leading a missions trip?

If yes, please explain.

Why do you want to be a missions trip leader?

Trip Details

Trip Location

Local Contact

i.e. who will you be working with upon arrival?

Team Size

i.e. Minimum or maximum

Age Limit

i.e. If fewer than 18 do they require parent/can a 5 or 70 year old attend

Estimated per day cost per person

i.e. Lodging, transportation, food and any other expenses

Accommodation Conditions

i.e. Hotels/hostels/host homes

Where the team would be flying in and out?

What will the team be doing?

Could you provide an interesting fact or two about the country/area the team will be ministering in?

Any other important information we should keep in mind?

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.