Short-Term Trip Application

Full Name: *

Age: *

Gender: * MaleFemale

Phone # (best phone # to reach you at):

*( )

* -

E-mail Address: *

Short-Term Trips I'm Interested In: * September 29-October 10 to Afghanistan (Medical)
October 14-24 to Musana (Bible training and other activities)
November 10-21 to Afghanistan (First-timers)

Why do you want to go on a short-term trip? *

What is the biggest concern or question that you have about the trip?

How long have you attended Flatirons? Where are you connected or serving? *

Your occupation? *

Describe your personal STRENGTHS and WEAKNESSES: *

Briefly outline any short term trips you have taken. Include where you went, the focus or goal of the trip and what impact the trip had on your life.

By submitting this application, you acknowledge that you have read and understand the expectations and financial commitment as outlined in the Information Packet for Short-term Trips.

(Download the Afghanistan Information Packet here)

(Download the Musana Information Packet here)

Need assistance with this form?