Short Term Mission Trip Application

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Walla Walla University Student Missions

Short Term Service Trip Application

Which trip are you joining?*

Is this an international trip?*

Yes No

Name*

First Name

Last Name

Cell phone*

Email*

Current address*

Address Line 1

Address Line 2

City

State

ZIP Code

Home address

Address Line 1

Address Line 2

City

State

ZIP Code

Gender

Marital status

Spouse's name

First Name

Last Name

Will spouse be on this trip?

Travel Information

I have a current passport:*

Yes No

I will get a copy of my passport to the Applications team by approximately this date:*

Name on passport*

Birthdate*

Passport country*

Passport expiration date*

Departure airport

Which city/airport would you like to fly out of to go on the trip?

Return airport

Which city/airport would you like to fly back to after the trip?

Special instructions or comments

Do you have any preferences for meals or seating? Any other accommodations needed?

Emergency Contacts

Emergency Contact Person #1*

First Name

Last Name

Relationship*

Phone*

Email*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Emergency Contact Person #2*

First Name

Last Name

Relationship*

Phone*

Email*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Travel Information

Emergency Contacts

Other information