Mission Trip Application

Please fill out this form as completely as possible. This will allow us to ensure that we have everything we need from each team member while in country to keep us all safe and well organized. If you do not have your passport yet, please put the date you expect to receive it into the passport number field. Thank you!
    ***** Important: You must have a passport before going to Honduras and your passport MUST have at least 6 months of validity after the last day of the trip. If your expiration date is in 2019, you should renew your passport as soon as possible. Please note – customs officials WILL stop you at the airport and return you to the United States if your passport is not in order*****
    Please note - any medical information shared here is confidential and will only be shared with Dr. Reeves or other medical providers on the team so that appropriate care can be provided if it is required while you are in Honduras. This information is collected to keep you safe, and for this reason only!
    By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that providing misleading information can put myself or the team at risk, and this could result in removal from the team, as well as potential disqualification for future mission trips.