You’re Going on a Mission Trip!

Fill out the form below to let us know of your interest in a mission trip to Guatemala City, where you will serve the orphans of Dorie’s Promise as well as those in need in the ghetto and the dump.

*Indicates required field.

Trip Information

*I am applying for the following trip:

*Make sure you’ve read about the different trip types we have available.

*Please indicate the trip dates you would like:

*Make sure to see the open dates we have for mission trips.

Personal Information

*Title:

*First Name

*Middle Name

*Last Name

*Nick Name

*Date of Birth (mm/dd/yyyy)

*Gender:

*Address

*City

*State/Province

*ZIP/Postal Code

*Country

*Phone

Cell Number

*Email

Facebook Address

*Student

*Marital Status

Spouse's Name

Spouse's Email

Work Information

Occupation

Position

Additional Information

*Do you speak Spanish fluently?

Talents you could use in Guatemala

Are you applying as the group leader?

Are you part of a group?

If you are in a group, who is your leader?

Are any minors traveling with you on this trip?

If yes – Please list their full names

Travel Information

Do you have a passport?

*If Yes – Passport #

*If Yes – Expiration date (mm/dd/yyyy)

*If Yes – Country of citizenship

*What airport will be your departure point for Guatemala City?

Leaders Only

How many are in your group?

Average Age range of the people within your group?

Are any of your team members minors?

Is your team affiliated with:

Has your group started meeting regularly about your trip?

Church Information

*Name of the Church you attend

*Pastors name

*Church address

*Church phone

*Church email

Emergency Information

*Emergency contact

*Relationship

*Home Phone

*Cell Phone

*Please list any medical conditions.

*Please list all medications you are currently taking.

*List any allergies to medications, foods, or anything else.

Safety

*Have you ever been convicted of a crime?

*If yes – Please explain

*Does your medical insurance cover you outside the United States?

*Do you have any medical training?

*If yes – Please explain

References

Reference 1

*Name:

*Email:

*Address:

*Phone:

Reference 2

*Name:

*Email:

*Address:

*Phone:

Reference 3

*Name:

*Email:

*Address:

*Phone:

Help Us

How did you hear about FCI’s mission trips?

Have you been on a mission trip before?

*Is this your first mission trip with FCI?

Are you taller than 6'2" OR over 280lbs (we need to know to provide you the best accommodations)? Please explain.

Do you have a special diet we need to know about? Please explain.

*Shirt Size