Engage The Islands
Please fill out this form and click submit.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Life Stage
*
Please select all that apply.
College
Young Adult
Family
The trip dates are July 13 - 30 for College, and June 29 - July 15 and July 13 - 30. These dates include travel. Are you able to go during your respective time?
*
Please select one option.
Yes
No
Have you participated in a short term trip before? If yes, where did you go and with what organization?
*
How did you become a Christian?
*
What are two of your strengths and two of your weaknesses?
*
Why do you want to be a part of this trip?
*
Do you have long term church planting interests?
*
How does your family feel about your taking this trip?
*
Are you comfortable with raising support for what you don't have?
*
Are you comfortable sharing the gospel on this trip with those that are far from Christ?
*
Payment
$10
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following