Spring Break Mission Trip Application

Please fill out this form completely.

Trip Choice
Which trip are you interested in?
- Los Angeles
- Arkadelphia
- Both
Name*
List name as it appears on your passport or drivers license.
FirstLast
Middle
Birth Date*
MM
DD
YYYY
Home (non-OBU) Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
OBU Box Number*
OBU ID Number*
Cell Phone*
OBU Email address*
Major*
GPA*
Church Membership*
Local church you attend:*
How involved are you at either your home or local church?*
Answer based on the church you attend most during school.
Parent/Guardian Name*
FirstLast
Parent/Guardian Email *
Parent/Guardian Home Phone*
Parent/Guardian Cell Phone*

Previous Mission Trips
Briefly describe any prior mission trips you have participated in
Personal Faith*
In the space below, describe your relationship with Christ--how it began and how it has developed in college:
Do you have any special skills or gifts that you feel will be useful on this trip?*
Teaching, music, evangelism, sports skills, etc.
Briefly describe your two main strengths & two main weaknesses:*
What is the attitude of our family about your participation on this trip?*