Victory Church | Missions Trip Application

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Gender *

Date Of Birth * +

Marital Status *

Which trip are you applying for? *

Why are you interested in this missions opportunity? *

Are you an active member of Victory Church? *

How/When did you receive Christ as your Savior? *

What experience, if any, have you had serving in the church? *

What previous missions experience have you had, if any? *

Education/Occupation & Skills? *

Do you support Victory Church through Tithing? *

Yes

No

I do not attend Victory, but I support my local church through Tithing

Do you support Victory Church through Kingdom Builders giving? *

Yes

No

I do not attend Victory, but I support Missions at my local church

Do you have a current Passport? Please note, that only trips outside of the US will need a passport. *

Yes

No

I am applying for a US trip (no passport needed)

If Yes, Date of Expiration: Your passport must be valid up to 6 months after the return date of the trip you are applying for. * +

If Yes, Full Name (as it appears on passport) *

If no, what date did you apply for a Passport? *

Emergency Contact

First Name *

Last Name *

Emergency Phone Number *

Describe your overall health *

List any physical limitations you have (ex. bad back, chronic conditions) *

List any current medications you are taking *

Have you ever been arrested, charged or convicted of a civil or criminal offense, misdemeanor or felony (excluding minor traffic violations)? *

If yes, please provide incident details.

Photo Required: Please upload a recent photo *

The information submitted in this application is correct to the best of my knowledge. I authorize any churches or references in this application to provide any information they may have regarding my character and fitness for ministry. I agree to abide by the guidelines of conduct and fundraising for Victory Church's Mission Trips. *

I Agree