BCM Director - Online Trip Form (2024) Type of Trip(Required)InternationalUS MissionsDROtherIf "Other", Please Explain(Required)Trip Date(s)(Required) MM slash DD slash YYYY Trip Location(Required)BCM(s) Participating(Required) Add RemovePrimary BCM Contact for Trip(Required) First Last PhoneIs this your preferred number for the trip?(Required) Yes No Please list your preferred phone number(Required)Email(Required) Is this your preferred email for the trip?(Required) Yes No Please list your preferred email(Required) Total Number of Students Participating(Required)Students Information:First NameLast NamePhoneEmergency Contact NameEmergency Contact PhoneEmergency Contact Relationship Add RemoveAdditional Questions For International TripsWhat ministry/organization are you working with?(Required)Primary Local Contact(Required) First Last Phone(Required)Email(Required) Security Level(Required)1 - Low Risk2 - Moderate Risk3 - High RiskHas Insurance Been Secured for Participants?(Required) Yes No Please go to https://www.travelwithgallagher.com to secure trip insurance.Are you applying for financial aid from the state office for this trip?(Required) Yes No BCMs may apply for up to $2,000 for an international trip or $750 for domestic trips to cover the leader(s)’s expenses such as airfare, lodging, meals, etc. on BCM/Oklahoma Baptist sponsored trips. These funds have been made available through the generosity of our Oklahoma Baptist churches, but they are limited. Assistance will be granted for one trip per person annually at the discretion of the state office until the designated funds are depleted.Cost Per Person (includes flights, lodging, food, ground transportation, visas, etc.)(Required)Is this a BCM sponsored trip?(Required) Yes No Additional Questions For US MissionsWhat ministry/organization are you working with?(Required)Primary Local Contact(Required) First Last Phone(Required)Email(Required) Has Insurance Been Secured for Participants?(Required) Yes No Please go to https://www.ailife.com/specialriskdivision/activityreport (Policy 5063s) to secure trip insurance.Are you applying for financial aid from the state office for this trip?(Required) Yes No BCMs may apply for up to $2,000 for an international trip or $750 for domestic trips to cover the leader(s)’s expenses such as airfare, lodging, meals, etc. on BCM/Oklahoma Baptist sponsored trips. These funds have been made available through the generosity of our Oklahoma Baptist churches, but they are limited. Assistance will be granted for one trip per person annually at the discretion of the state office until the designated funds are depleted.Cost Per Person (includes flights, lodging, food, ground transportation, visas, etc.)(Required)Is this a BCM sponsored trip?(Required) Yes No Additional Questions For DR TripsHas Insurance Been Secured for Participants?(Required) Yes No Please go to https://www.ailife.com/specialriskdivision/activityreport (Policy 5063s) to secure trip insurance.Are you applying for financial aid from the state office for this trip?(Required) Yes No BCMs may apply for up to $2,000 for an international trip or $750 for domestic trips to cover the leader(s)’s expenses such as airfare, lodging, meals, etc. on BCM/Oklahoma Baptist sponsored trips. These funds have been made available through the generosity of our Oklahoma Baptist churches, but they are limited. Assistance will be granted for one trip per person annually at the discretion of the state office until the designated funds are depleted.Cost Per Person (includes flights, lodging, food, ground transportation, visas, etc.)(Required)Is this a BCM sponsored trip?(Required) Yes No Additional Questions For “Other”What is the primary purpose of your trip?(Required)Where will you be staying?(Required)Has Insurance Been Secured for Participants?(Required) Yes No Please go to https://www.ailife.com/specialriskdivision/activityreport (Policy 5063s) to secure trip insurance.
