Mission Trip Application

Please fill out the form below, selecting the appropriate trip. A member of our missions team will be in touch soon!

Choose a Mission Trip*
Contact Info
Name*
First Last
Email*
Enter Email Confirm Email
Phone*
Additional Info
Country of Citizenship*
Passport Number (if applicable)
Date of Birth*
Month
Day
Year
What grade are you in? (if applicable)
Member Status
Are you a member of Rock Bridge?*
- Yes
- No
What Campus do you attend?*
Please list 2 people that we may contact who know your strengths and weaknesses. At least 1 contact needs to be a member or staff at Rock Bridge.*
Please provide Name, Relationship, Contact Phone Number, and Email.
What skills or abilities do you feel you bring to the trip/team?*
Please state briefly how and when you accepted Christ:*
What Rock Bridge mission trips have you gone on before? Have you been on any mission trips with any other organizations?*
Please provide dates, destination, organization, and purpose.
Important Note
Rock Bridge Mission Trips are self-funded. Are you willing to take responsibility to cover the cost of the trip by fundraising or personally?*
- Yes
- No
COVID-19 Disclaimer*
*As a trip participant please be aware that there might be restrictions and protocols in place for domestic and international travel pertaining to vaccinations and COVID-19 testing mandates.
- I have read the statement and agree to be flexible if any plans are changed

Contact Info