Mentor Leaders

First Name

Last Name

Email

Phone #

Address

City / State / Zip

Gender

Male Female

T- shirt Size

Adult XX- Large Adult X-Large Adult Large Adult Medium Adult Small Youth Large

Martital Status

Married Single

Date of Birth

Parent or Guardian's name if under 18

Parent or Guardian's Phone # and Email if under 18

Your Church

Pastor's name and email

Is this your first time to travel with Mentor Leaders?

No Yes - See question below

If yes, how did you learn about our mission trips?

Do you currently sponsor a child with us?

No No, Tell me more Yes

Where do you see yourself serving on the field?

Personal Bio - Tell us about your spiritual journey! Where are you today and how did you get there? If you've traveled with us before, please provide us an update.

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

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.

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

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.

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

I agree

All the information I have given is true and correct.

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X - 2022 - Miami - August - Application

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