Vision Trip Application

To apply for a College Park Church Vision Trip, please read and complete the following form. This form must be completed by the deadlines listed on the trip description.

Please note: By completing and digitally signing this form—either for yourself or as a parental guardian for a minor—you are agreeing to all the terms and outlined conditions.

Full name (as it appears on your passport)*

First Name

Middle Name (optional)

Last Name

Gender*

Male Female

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone (primary number)*

Is this primary number a cell phone?*

Yes No

Phone (secondary number)

Email*

Date of birth*

Age at time of Vision Trip*

Passport number**

Passport expiration date*

Are you applying for a new passport?*

Yes No

Please upload a digital copy/picture of your passport

No File Chosen

File uploads may not work on some mobile devices.

If you are unable to provide a digital copy, please contact Ron Page at rpage@yourchurch.com.

Are you a member or attender of College Park Church?*

Yes No

Where do you attend church?*

If you are a member, what year did you join?

What is your Small Group and/or Adult Big Group involvement?

Current employment/school*

I think my spiritual gifts are:*

Countries previously visited

Trip Choice*

Why do you want to go on this trip?*

COMMITMENT: I plan to attend all training sessions and all team meetings. I understand that I am responsible for the full cost of the trip, either from my own resources or through the help of others.*

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Use your mouse or finger to draw your signature above

Upon completion of this form, please submit your $100 non-refundable Vision Trip deposit check to the Assistant Director of Global Outreach. You may do so by mail or by giving the check to the front desk receptionist at College Park Church on any weekday, 9 a.m. - 5 p.m.

By Mail:

Attn: Global Outreach

2606 W. 96th Street

Indianapolis, IN 46268