Blue Mountain BSU

BSU Mission Trip Application

Interviews: October 3rd for MS Delta and Arlington

Interviews: Oct. 21st for Mexico trip

Apps due with $100 deposit by the interview date.

Sentinel Training will be required for the Mexico trip!

Select all the trips you are applying for:

Mission Arlington (Dec. 13-19th) Cost $175

MS Delta

MS Delta (Dec. 15-19) Cost $125

New Field

Spring Break in Mexico (March 8-15) Cost $1,400

Name

Cell

Address

City, State, Zip

Date of Birth

Marital Status

Contact in Case of Emergency

Emergency Contact phone

Emergency Contact Address

Emergency City

Emergency Contact State

Emergency Contact Zip

Health Insurance Policy Company

Health Insurancy Policy Number

Church Membership

Will this church help support you financially?

Mailing Address of Church

How often do you attend church while in college?

Weekly

2-3 times a month

Once a month

Occassionally

I am not attending a church.

Where do you attend church while at college?

For Spring Break trip only: Passport number:

For Spring Break trip: Expiration Date on Passport:

Church City, State, Zip

How else do you plan to raise funds for this trip?

Have you ever been on a mission trip before? If so, where?

What were your responsibilities?

Have you ever shared with another person your salvation experience?

Are you willing to attend all of the orientation sessions to prepare for this trip?

Do you have any experience in speaking a foreign language? Which one?

What are some of your talents and abilities which you think will be beneficial to this team?

Briefly give your testimony in a short paragraph.

How did God speak to you about being a part of this mission trip?

What do you hope God will do in your life while on this trip?

Do you have any experience driving a van?

Would you be willing to drive a van if we use one?

I have spoken with my family , and they have given me permission to go on this trip. I have read the qualifications and filled out this application to the best of my ability.

QUICK LINKS

CONTACT

662-685-4771 ext. 137
Director: tmoser@bmc.edu
Assistant: tmiller@bmc.edu

Physical Address:
201 West Main Street
Blue Mountain, MS 38610

Mailing Address:
Blue Mountain College BSU
PO Box 160
Blue Mountain, MS 38610

BMCU

BSU Mission Trip Application

QUICK LINKS

CONTACT

662-685-4771 ext. 137Director: tmoser@bmc.eduAssistant: tmiller@bmc.eduPhysical Address:201 West Main StreetBlue Mountain, MS 38610Mailing Address:Blue Mountain College BSUPO Box 160Blue Mountain, MS 38610

662-685-4771 ext. 137
Director: tmoser@bmc.edu
Assistant: tmiller@bmc.edu

Physical Address:
201 West Main Street
Blue Mountain, MS 38610

Mailing Address:
Blue Mountain College BSU
PO Box 160
Blue Mountain, MS 38610