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REGISTRATION HAS CLOSED. To be placed on a waiting list, please fill out the application, and we will be in touch with you!
This application should be filled out by the student participant.
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NOTE: A parent's signature is required at the end of the application.
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(This 1st email section is where your application confirmation will be sent after completion.)
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* Indicates required question
Email
*
Your email
Full Student Name
*
Your answer
Birthdate
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MM
/
DD
/
YYYY
School
*
Your answer
Gender
*
Female
Male
Student Email
*
Your answer
Student Phone
*
Your answer
Parent 1 Name
*
Your answer
Parent 1 Email
*
Your answer
Parent 1 Phone
*
Your answer
Parent 2 Name
*
Your answer
Parent 2 Email
*
Your answer
Parent 2 Phone
*
Your answer
T-Shirt Size
*
Adult Sizes
S
M
L
XL
XXL
I am a part of
*
FSM Bentonville
FSM Rogers
FSM Springdale
FSM Fayetteville
I do not attend FSM
I have attended Fellowship since
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Your answer
Do you serve in an area of Fellowship?
*
Yes
No
If you serve, where do you serve?
Your answer
The person on staff that probably knows me best is
*
Your answer
The Cell Group Leader that probably knows me best is
*
Your answer
Describe your cell group experience so far at Fellowship
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Your answer
Why do you want to go on a trip? What do you hope God will teach you while on a trip?
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Your answer
What, in your opinion, is the purpose of a mission trip?
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Your answer
If you have been on other mission trips, list year, location, and what you learned on that trip
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Your answer
If you do NOT attend Fellowship Bible Church, please list the Church you attend, Name of Pastor, Church phone number, and the Name/Number of the person at the church who knows you well
Your answer
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