Mission Scholarship Application-Potomac Baptist

Mission Scholarship Application

First Name

Last Name

Phone Number

PBA Church Membership:

Date of Trip:

Destination of Trip:

Who is the trip sponsor or organization you are serving with?

What is the main purpose of the trip and how will you be involved?

Why do you feel called to go on this particular mission trip?

Do you have any personal goals or vision for the trip? If so, what are they?

What is the cost of the trip?

What date are the funds due to the sponsor/organization?

Church or Organization which check should be made payable to: (Checks cannot be made payable to individuals)

Address where check should be mailed:

Are there additional ways you are seeking to raise funds?

*Scholarships will be evaluated and distributed on a first come first serve basis by the PBA Missions Team.

*The PBA Missions Team does request a brief overview of the trip upon your return so we can recognize and celebrate it in the annual mission report.

Pastoral Endorsement:

Pastoral Contact Information: