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Personal Information
First Name
Last Name
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Address 1
Address 2
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School You Currently Attend
Address of School (include City, State, and Zip code):
Name of Home Church:
Are you a member of your home church?
Yes
No
Not Sure
Name of the church you attend while in school?
Proposed Mission Trip Information
Place you wish to go? (be as specific as you can)
Beginning date of proposed trip (mm/dd/yyyy):
End date of proposed trip (mm/dd/yyyy):
What types of things will you be doing on this trip?
Name of mission agency organizing this trip?
Address of mission agency (include name, street address, city, state, and zip code):
Mission Agency contact email:
Estimated cost of trip?
How much money are you personally contributing towards this cost?
How much money have you raised from other sources?
What is the dealine for having all the funds needed for your trip?
What help are you specifically requesting from Ridgepoint church?
Please indicate specific information on how to get funds to you or your agency if approved by Ridgepoint (donor website, project code, etc.):
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