Short Term Mission Assignment Application

Application Checklist

1. Application Form
2. First page of Passport
3. Letter of Reference from Pastor
4. Non-Refundable Deposit
5. Visa Application & 2 passport size photos (Liberia & Kenya Only)

Mail or e-mail all forms to:
 Lott Carey Short-Term Missions
 Attention - Kathi Reid (Haiti)
 220 I Street, NE

 Suite 220

 Washington, DC 20002

* Required information. Please ensure you have selected a trip from the drop down box and make entries in all fields marked with an asterisk.