Sept. 16-26, 2020 Guatemala Trip Application

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Legal First Name (or as shown on passport) *

Legal Middle Name (or as shown on passport) *

Legal Last Name (or as shown on passport) *

Name you would like to be called *

Gender

Male

Female

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Date of Birth *

YYYY

Address 1 *

Address 2

City *

State *

Zip *

Primary phone # *

Email address *

Why do you feel called to serve on an ACF mission trip? *

How is your general health? *

List any physical limitations *

How did you hear about this trip? *

Passport # (enter NEED TO APPLY if you currently do not have a valid passport) *

Passport Expiration Date (passport expiry must be a minimum of 6 months after your scheduled return date or travel may be refused) *

YYYY

A background check is required for anyone over the age of 18 and a first-time traveler with ACF. Upon review of this application and receipt of the $350 deposit you will be asked for additional information so the background check can be initiated. By typing my name below I declare the contents of this application form are correct to the best of my knowledge and give ACF the authorization to verify all information.

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