Missions Journey Application
Brentwood Baptist Church

Welcome – Thank you for your interest in participating in a BBC Mission Journey. Please complete this online, initial application (you will need your passport if international journey).

After completing the application a deposit of $100 (domestic and Canada) or $200 (international) is due. Please turn in the deposit to your Team Leader or to the Missions Office.

If you have any questions, please contact Kim Cox at 615-324-6150 or email missionjourneys@brentwoodbaptist.com

Mission Journey:
Date of Journey:
  Contact Information
Name:
(required)
Street Address:
City:
 ST Zip
Home Phone :
Work Phone :
Cell Phone:
Email:
 (required)
Spiritual Background
Name of Church:
Member?

Have you accepted Jesus Christ as your personal Savior?
Church activities in which you are involved (including Small Groups):


List all Mission Journeys in which you have participated:


Why do you feel led to be a part of this team?


Summarize skills, qualifications, and other training you have acquired from employment, previous volunteer work, or through other work, including hobbies and sports. (e.g. - CPR, carpentry, word processing, cooking).

PLACE Class Information
(This is required of all Mission Journey participants. If you have not taken the PLACE class, you will be asked to complete the class before the mission journey.)

Have you taken the PLACE class?

 Yes
  No
Personal Information
Full Legal Name :
(as shown on Birth Certificate or Passport)
Birthdate:
 (mm/dd/yy)
* Passport Number:
(if you do not have a passport enter "no passport")
* Passport Expiration Date:
(mm/dd/yy)
* Issued By:


*if traveling internationally
Medical Information
Physical restrictions:
Last Tetanus Shot (year):

(current tetanus shot required;
                                                                                                              must be within the last 10 years)

Mission Journey Scholarship
Complete the following if you are requesting a BBC Mission Journey Scholarship of 25% of Mission Journey expense.
Why are you requesting a BBC Scholarship? (please describe your situation)
 
Payment Agreement

Estimated Total Cost of Journey:
Departure Date (due date of total costs):
(mm/dd/yy)

You agree to fulfill your obligation to pay the total cost (minus any scholarship) before departure unless prior arrangements have been made. In event you are unable to make the journey, you still assume the responsibility to pay the amount due in full related to any nonrefundable charges that were incurred on your behalf.
(Initial here.)
I will comply with the above payment agreement. (required)
Application Next Steps


Thank you for completing the on-line form. When you submit this portion of the application, it will be sent to the Missions Office.

  • A deposit of $100 (domestic and Canada) or $200 (international) is due with the application material. Please turn in the deposit to your Team Leader or to the Missions Office.

    • If you have any questions, please contact Kim Cox at 615-324-6150 or email missionjourneys@brentwoodbaptist.com

     

    ! Note ! FIRST TIME BBC MISSION JOURNEY APPLICANTS: Please follow the link below for some additional information concerning your application. BEFORE YOU SUBMIT THE APPLICATION.


    Click Here If First Time Mission Journey (Remember afterwards to come back and SUBMIT your application)

     

    By clicking Submit, you are verifying that the information provided herein is accurate and complete to the best of your knowledge.