Global Connect: Group Report

*First Name
*Last Name
*Phone
*Email
*Are you affiliated with a local church in Missouri?
Yes
No
*Missouri Local Church Affiliation
*District
*Out of State Name of church

If out of the state of Missouri, what is name of your church and location of church?

Pastor's Name
Pastor's E-mail
MISSION LOCATION
*Where did you serve?

Are you an International, National or local team

International
National
Local
*Name of location
*Name of state or country
*Site Name (Ministry partnered with)
MISSION DATES
Depart Origin Date
Return to Origin Date
Work with which you engaged

Tell us what your team will did while on mission.  You can check more than one box

Improving Global Health
Ministering With the Poor
Growing Vital Churches
Developing Leaders
Advocating for Justice
Responding to Disaster
*Final Cost Per Person (including all transport, meals, lodging, etc.)
*Would you recommend this site for future trips?
Yes
No
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