Mission Trip Application

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If you are filling out this form on behalf of a minor applicant, all personal details (name, date of birth, etc.) should reflect the minor applicant. Contact information may belong to a parent or guardian as needed.

If you do not have your passport yet, leave this section blank for now. We will get this information from you before you travel with us.

Please make sure the uploaded photo or scan of your passport is clear and includes the line with your signature.

If you are 18 years or older, your references cannot be a family member.

If you are under the age of 18, you may have one reference who is a family member and one reference who is not a family member. We recommend a pastor, teacher, coach or family friend.

It is important that you are as thorough as you can be in this section.

Please share all prescription medication that you take and the doses. In the event of an emergency, this information is very important.

IF YOU ARE 18 YEARS OR OLDER, YOU MAY SKIP THIS PAGE.

IF YOU ARE UNDER THE AGE OR 18, THIS INFORMATION IS REQUIRED.

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Please select a Shift.

No shifts.

Waiver is required.

Typed Signature is required.

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Full Name (EXACTLY as it appears on your passport)

Passport ID

Passport Date Issued

Passport Expiration Date

Upload a photo of your passport

U.S. Citizen *

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Reference 1 Name *

Reference 1 Relationship to you *

Reference 1 email address *

Reference 2 Name *

Reference 2 Relationship to you *

Reference 2 email address *

Have you ever been convicted of or pleaded guilty to a criminal offense that would include the sale or use of drugs, child abuse, alcohol consumption, or a crime involving actual or attempted sexual misconduct? *

If you answered yes, this does not necessarily disqualify you from the trip. If you answered "yes", please explain:

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Name of your Primary Physician *

Primary Physician Phone Number *

What is your current state of health? *

Date of last tetanus shot (must be withing the last 10 years)

Blood type (helpful, but not required)

Please list any medical problems, regular medication use, or major illnesses or surgeries within the last 12 months. *

While we do our best to organize our trips to minimize stress and anxiety, we also know that travel can be stressful for many people. In our effort to support you as best as possible, please share any mental health issues that you want us to know about. *

Emergency Contact Name (*If you are under the age of 18 OR still in High School, your Emergency Contact must be a parent or legal guardian) *

Emergency Contact Relationship *

Emergency Contact Phone # *

Emergency Contact Email Address *

Do you have any allergies (food, medicine, insect, etc.)? Do you carry an epi-pen? *

Some of our rooms require the frequent use of stairs. If for physical or health reasons, you cannot manage frequent stairs, please let us know. *

If you prefer to room with someone in your travel group, please list their name below:

We will do our best to honor roommate requests, but placement is not guaranteed and will depend on availability and logistics.

Do you need assistance at the airport? In El Salvador, the ramp from the plane to the terminal is extremely steep and long. If you have any mobility or physical issues, we recommend requesting a wheelchair. Your dedicated wheelchair driver will get you through immigration, baggage claim, customs, and out of the airport to meet our drivers. Please let us know if you need anything. We're here to help! *

Airport Assistance Details

If there is anything else we need to know, let us know below.

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How many parents or legal guardians does the child have?

Parent or Legal Guardian #1 – Full Name

Parent or Legal Guardian #1 – Relationship to Child

Parent or Legal Guardian #1 – Phone Number

Parent or Legal Guardian #1 – Email Address

Parent or Legal Guardian #2 – Full Name

If you have two parents or legal guardians, please enter information for both of them.

Parent or Legal Guardian #2 – Relationship to Child

Parent or Legal Guardian #2 – Phone Number

Parent or Legal Guardian #2 – Email Address

Will a parent or legal guardian be traveling with the child?

Which parent or legal guardian will be traveling with the child?

Parent/Guardian #1

Parent/Guardian #2

Both parents/guardians

Not applicable (traveling without parent or legal guardian)

If no parent or legal guardian is traveling, who will the child be traveling with?

Name of Adult or Group Traveling With the Child

Do not fill this in if you are traveling with a parent or guardian already listed above.

Relationship of Adult to Child or Role in Group

Do not fill this in if you are traveling with a parent or guardian already listed above.

Phone Number of Traveling Adult or Group Leader

Do not fill this in if you are traveling with a parent or guardian already listed above.

Email Address of Traveling Adult or Group Leader

Do not fill this in if you are traveling with a parent or guardian already listed above.

During travel, who will be primarily responsible for the child?

Have all parents or legal guardians given permission for this travel?

If there is anything else we need to know, let us know below.

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Notice of Understanding *

NOTICE OF UNDERSTANDING:

Completing this application does not guarantee a place on the respective mission trip. Each application will be reviewed by a staff member of Shelter the Homeless International Projects, dba Bright Hill Collective. I will wait to be informed of my acceptance status, before making any additional travel arrangements.

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Shelter the Homeless International Projects, dba Bright Hill Collective, is incorporated in the State of Texas as a 501(c)(3) non-profit organization.

Our mailing address is P.O. Box 3003 Bryan, TX 77805.3003