Short Term Missions Application
Mission LINK International
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Lake Victoria, Uganda
Mission Destinations (select trips of interest) *
Name: Last, First and Middle (as listed on Passport): *
Email: *
Please provide your email address for receiving important announcement/updates.
Home Address and Mailing (if different): *
Mobile Number: (Home # if no mobile available) *
Date of Birth: *
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Gender *
Required
Marital Status: *
Required
Spouse's Name
U.S. Passport Status: *
Passports need to be valid for 6 months after arrival dates. To apply or renew passports CLICK HERE.
*Please email a COPY or Picture of your Passport's Bio (Photo) Page to: info@missionlink.org
Employment Status *
Name of Employer or Business:
Church: (Name, Address, Pastor's Name)
Church Involvement: (check all that apply) *
Required
Are You willing to forgo using alcohol, tobacco, or electronic smoking devices that may be offensive to others during the time of the trip? *
Emergency Contact: (list complete name, address, telephone numbers, relationship) *
Also list Beneficiary's Name and details for our Traveler's Insurance.
Travel Experience: Have you traveled outside the USA? *
If above is YES, list countries visited:
Financing Your Trip: *
Select all that applies to how you plan on financing your trip, in addition to any Early-Bird Scholarship offer.
Required
Air Travel Accommodations: *
Select Seat preference (if medically necessary). We attempt to keep us all together but we must be flexible.
Required
Medical History: (select all that apply in past & current) *
We ask for this to help us accommodate each traveler and some countries deny Visas based on some answers
Required
List of Medications:
Give name and dosage of all medications currently taking.
Allergies:
List any allergies to medications, foods, etc. and reactions.
Medical Insurance:
Give name of your insurance carrier, Policy Number, and "IF" they provide coverage outside of the U.S.
Legal Waiver *
  • I am aware that all positions are voluntary, without financial compensation. I agree to abide by all present and subsequent issued rules of MLI.
  • I clearly understand that all expenses for this mission trip will be my responsibility. I further agree that MLI has the right to discontinue my ministry at any time at its sole discretion. 
  • I recognize that participation on a trip of this nature may be hazardous or dangerous. Therefore, I am, for myself, my heirs, executer, and/or administrator, releasing and forever discharging MLI and all of its officers, agents, servants, and employees, acting officially or otherwise, from any and all reason of injury, damage ( including property damage to any of my belongings ), loss or death which may occur from any cause including, but not limited to, any accident and/or occurrence while participating individually or with others while with this mission agency and/or on this mission trip.
  • Contributions deposited with MLI from the participant or the participant’s sponsors are non-refundable in the event that the applicant chooses not to participate in the program.
  • The financial disbursement of these funds is at the discretion of MLI.
I have read the above and understand my commitment to participate and my financial commitment.

Date Below:
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Signature: (type Full Name below) *
Personal Testimony *
Write a short testimony sharing about your current relationship with Jesus Christ.
Authorization *
The information I have given MLI is accurate and true to the best of my knowledge. I also give MLI the right to use my picture, voice and/or testimony in any form of promotional advertising materials. My enclosed signature (and signature of my parent/ guardian if I am under the age of 18) signifies authorization.

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Signature: (type Full Name below)
 *
Obedience to the Great Commission
Blessings in the Going!
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