Mission Trip Host Request Form

Name of Organization(Required)

Your Name(Required)

Your Position within the Organization(Required)

Start Date of Trip(Required)

End Date of Trip(Required)

Location of Trip(Required)

Team Leader(Required)

Contact Phone(Required)

Contact Email(Required)

What is the overall vision of your organization?(Required)

What is the specific purpose of this trip?(Required)

Please provide details of what type of ministry will take place on this trip.(Required)

How do you see this trip aiding in people being transformed by Jesus?(Required)

How do you plan on measuring if the trip succeeds in achieving the objective?(Required)

Do you believe a Victory Life Staff Member would be a value to the trip? If so, why?(Required)

Do you have any concerns with a Victory Life Staff Member attending this trip?(Required)

Are there any current Victory Life Staff Members you know are interested in attending this trip? If so, please list all names.

Locations