Circle of Hope International
Malawi Mission Team Application Form

Name

First Name

Last Name

Birthday

MM

DD

YYYY

Please write your full name as it appears on your passport, your passport number and date of expiration

Email address you check and use regularly.

Cell phone number

Country

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Preferred Departure City

Which Mission Trip are you most interested in

April 2026 DadCamp Team

May 2026 COH Team 1

June 2026 COH Team 2

July 2026 COH Team 3

I'd like to talk about a different time.

Are you currently under the care of a doctor? Please state any current medical conditions for which you are under treatment. Have you checked with your doctor about going on this trip? Please provide a list of any medications you currently take.

How did you hear about this mission trip? What previous mission trips have you participated in?

Describe your relationship with God/Jesus. Please be open in your response, we do not require team members to know Jesus, however as a faith-based organization, we want to be candid about our faith.

What do you want God to do in your heart through this trip? What aspects of your life would you like to see change or develop through this experience?

Check to indicate that you understand the costs.

I understand that I am responsible for the cost of this trip. Estimated Cost: $1,500 plus airfare and any necessary vaccines, medications, spending money.

Check to indicate that you understand the vaccines and medications needed.

I have read and understood the information on the CDC website: https://wwwnc.cdc.gov/travel/destinations/traveler/none/malawi

I understand my $100 deposit is due on submission of this form.

Deposit Due $100

Circle of Hope International
Malawi Mission Team Application Form

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Circle of Hope International Malawi Mission Team Application Form

Circle of Hope International
Malawi Mission Team Application Form