e3LG Short Term Mission Application

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Answer the items as directed, click "NEXT" at the bottom of each page, then "SUBMIT" at the very end.

Applications require a non-refundable fee, plus reference letters. If your trip will involve serving children, we will also ask you to complete a $25 background check.

Once we receive your application, and while we wait for your references, we will send you a link via the email you provided to complete the background check. Once you have completed the background check, your registration is complete!

If you have any questions regarding this application or the trips, please contact:
STM Missions Administrative Assistant Naomi Miller via +1 816-462-3028 or naomi@e3lg.org.

For Which Trip are You Applying?

NEPAL: Spring 2024 - March 6th to 19th (US$15 application fee)

CAMBODIA: Summer 2024 - May 15 to May 26, 2024 (US$15 application fee)

CAMBODIA: Winter 2024 - Dec 26 to Jan 9, 2025 (US$100 application fee)

Last Name *

First Name *

Date of Birth *

YYYY

Home Address *

City *

State *

Zip *

Your Email Address *

Home Phone *

Cell Phone *

Profession *

Church Staff *

Yes

US Citizen *

Yes

Passport Number *

Passport Expiration Date *

Country of Passport *

Visa Status *

Have You Traveled Internationally with e3LG Before? *

Yes = You can skip to the Final Section.

No = Continue with Section 2.

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