Mentor Leaders

I understand that I am applying for the mission trip with Mentor Leaders to Togo Africa, June 15-27, 2023.

First Name

Last Name

Email - If you have an account with Mentor Leaders please use this email.

Phone

Address

City

State

Zip

Date of Birth (mm/dd/yyyy)

Gender

Female Male

Marital Status

Not Married Married

Age Verification

I'm 18 or older I'm under 18 years old

Parent/Guardian First and Last Name (if applicant is under 18)

Parent/Guardian Phone and Email (if applicant is under 18)

Is this your first time traveling with Mentor Leaders?

NO YES

Where do you see yourself serving while on the mission trip?

Where are you today and how did you get there? If you've traveled with us before, please provide us an update. Please don't respond with - You know me.

Talents and Skills - Please tell us about the talents and skills you hope to utilize on the trip.

Church Home

Spiritual Leader / Pastor Reference - First & Last Name, Phone Number

Spiritual Leader / Pastor Reference - Email

Personal Reference - First & Last Name, Phone Number - No family members

Personal Reference - Email

Members of the mission team are encouraged to ask others to join them by raising funds for their trip instead of paying for their own trip.

This blesses both the giver, who might be unable to travel due to physical or scheduling restrictions, and the receiver.

This also assists Mentor Leaders by giving us the opportunity to reach out to your community about the ministry.

All gifts will be considered a preference gift for your trip which is subject to the sole discretion and control of Mentor Leaders.

I Agree

The approximate cost that Mentor Leaders sets is the minimum cost for a traveler.

I Understand

When we travel to the mission field we will always have projects and general expenses that are not included in the projected cost of the trip.

Mentor Leaders has staff in place to oversee and manage these gifts so that travelers do not need to account for gifts.

By signing below you agree and understand that all gifts, whether by yourself or others, that are made to Mentor Leaders are non-refundable.

I Agree

All the information I have given is true and correct.

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X - 2023 - Togo Application - June 15-27

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