Short-Term Trip Application

We are excited that you are interested in going on a Short-Term Trip with Holland Chapel! Please complete the form below and someone will contact you soon. **Please note this is not the application for student mission trips.** That can be found on the STUDENTS page.


*GENDER

Emergency Contact Information


Membership Information


*PLEASE CHOOSE

Short-Term Trip Experience


HAVE YOU BEEN ON A SHORT-TERM TRIP BEFORE?

In Submitting This Application:

I agree to be subject to a background check.


I agree to participate in any required training and meet all requirements.


I understand that my participation on this trip can be denied if I do not participate in the full preparation of the trip.


I am willing to work under the leadership and direction of the HC Missions Team and perform any and all tasks with a Christ-like attitude.


Submit


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Giving is God's way of raising us to be more like Him.


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15523 Interstate 30, Benton AR 72015 
Phone: (501) 778-4546


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