Stateside Team Form | Chi Alpha Campus Ministries

This form is the first step in your missions team application process.

Name of University/College*
Please write out the full name of the college/university. Abbreviations are not clear enough to determine the name as there can be several colleges/universities with the same acronym.
Which area is your university/college within?*
Which district is your university/college within?*
Is this the first stateside Expedition from your campus?*
Campus Director Name
Campus Director Email*
Team Leader Name*
Team Leader Email*
Team Leader Phone Number*
Is this the team leader's first time leading a stateside Expedition?*
Destination*
Trip Departure Date*
Trip Return Date*
How many team members? (Use your best guess if necessary.)*
What ministry are you working with and what type of ministry?*
Consent*
I understand I need to purchase domestic travel insurance through Mission Assure.
I agree.
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