LOL Short-term Teams Application

Basic Information

Full Name:

Email Address (REQUIRED):

Telephone Number (###-###-####):

Home Address:

Apt. Number/Housing Unit:

City:

State:

Country:

Zip Code:

Birth date (mm/dd/yyyy)

Age

Gender

Passport Number

🛈

Expiration Date

Are you a U.S. citizen?

Marital Status:

If you are divorced, do you have children from your previous marriage?

If yes, who has custody of the children?

Comments:

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If married, is your spouse accompanying you on this trip?

Spouse's name (IF accompanying you on this trip)

How did you hear about LOL Ministry?

Comments:

Emergency Contact Information

Emergency Contact #1:

Telephone Number:

Email Address:

Relationship:

Emergency Contact #2:

Telephone Number:

Email Address:

Relationship:

Church Information

Church Name:

Address:

Telephone Number:

Denomination

Has a representative of LOL ever visited your church?

Comments:

What is your primary reason for participating in a short-term mission trip?

Trip Information
*The following questions are reserved for the primary leader/director of your group

Requested dates for your trip:

Are these dates flexible?

If yes, how flexible are they?

(Optional) 2nd Choice Dates:

Preferred # days doing construction:

Preferred # days doing ministry:

Team Information:

What kind of group are you?

Total # of members in your group (including leaders):

Age range of members:

Total # male participants (excluding leaders):

Total # female partcipants (excluding leaders):

Total # participating members:

Total # male leaders:

Total # female leaders:

Please list the names of the leaders (Important!) If there are both male and female participants in your group, you must have both male and female leaders.

Total # married couples:

Please provide the names of each married couple:

Please list any special needs (i.e. specific allergies to food/plants/etc., illness, handicaps, etc.) for any member of your group that LOL should be aware of: 🛈

What do you hope to gain for your team during your time at LOL?