Mount Moriah Baptist Church - Mission Trip Application

Trip Details

Trip Destination

Trip Dates

Estimated Cost

Personal Information

First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Email

Phone Number

Marital Status

Will other immediate family members join you on this trip? If yes, please list:

Relationship to Mount Moriah Baptist Church

Member since

Have attended since

Regualr attender since:

I am involved with a church other than MMBC

Other

Ministry Experience

List the ministries you have been involved with, in the past year.

Missions Experience

List any recent short term missions experiences

Personal Testimony

Please share a brief testimony about your relationship with Jesus?

Host Organization

If not MMBC, please provide contact information for the trip leader and host organization with who you are making this mission trip.

Organization Name

Organization Website

Contact Person (Trip Leader)

Contact Person Phone Number

Contact Person Email

Will the lead organization provide training for you?

Yes

No

If yes, describe

Trip Summary:

Our Part

Would you like training and resources for sharing the Gospel?

Yes

No

How can we specifically pray for you regarding this trip?

Would you like to be considered for financial assistance from MMBC Missions Committee? Your name will not be published as a recipient of money. The amount may be up to 1/2 the total coast of the trip, not to exceed $1,000.

Yes, I am requesting assistance.

No, I do not need financial assistance for this trip.

In addition to MMBC, will you receive scholarships or financial assistance for any other organization? Please describe:

Signature

2026 Mission Trip Application