Mission Trip Support Application

Please fill out the following application for financial support from the Antioch Fund. All requests must be received at least 30 days prior to your mission trip payment deadline. Once your application is submitted, please allow 2 weeks for a response.

Your name *

Email address *

Phone number *

Birthdate *

Gender *

Marital status *

Are you a member of Oak Park? *

Are you involved in a community group? *

Are you currently attending a discipleship class? *

Are you currently serving in some way at Oak Park? *

Have you ever been involved in a missions trip before? *

Mission Organization Information

Name of the sending organization *

What organization is this trip associated with?

Organization address *

Organization phone *

Organization website

Relationship with organization *

What is your relationship with this organization?

Mission Trip Information

Destination *

Departure date *

Return date *

Purpose *

Please describe the purpose of the trip and your expected involvement and role in the effort.

Total cost *

What is the total expenditure required for you to participate in this trip?

Payment deadline *

Are you currently giving faithfully to Oak Park? *

In what other ways are you seeking financial support? *

What amount of funding are you requesting from Oak Park? *

Have you received financial assistance from Oak Park in the past year? *

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