Part 1 - Group Information

Name of Church or Organization

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

Have members been to Cambodia before?

If yes, explain the nature of the visit, the names of organizations/churches involved, and length of stay:

Do any members of your team have medical conditions, disabilities, or other concerns that it would be helpful for us to be aware of?

Checkbox

Are all members of your team from your same church or group?

Yes

If no, please explain:

Which team member will be handling team finances on the ground?

Part 2 - Group Leader Information

First Leader

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Second Team Leader

(if applicable)

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Has either team leader been to Cambodia before?

If yes, explain the nature of the visit, the names of organizations/churches involved, and length of stay:

Part 3 - Mission Trip Information

Please list any specific skills or special abilities that your team members will have (e.g. medical training, pastoral training, music, dance, physical therapy, metal-working, web design, graphic design, etc):

Are there any special events/projects/experiences your group is especially hoping to take part in while you are here?:

In His Steps International

In His Steps International

Group Application

In His Steps International

In His Steps International

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