Rochester East El Salvador Application 2019
We are traveling to El Salvador February 14-21, 2019 and would love for you to be there!
Email address *
Come Meet our Friends in Taura
Name (First) *
Your answer
Name (Last) *
Your answer
Birthdate *
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DD
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Grade in School *
Address *
Your answer
Your Cell Phone Number *
Your answer
Parent's Information
If you are in College or older, please put N/A
Parent's Name *
Your answer
Parent's email *
Your answer
Mom's Cell Phone Number *
If your parent doesn't have a cell phone please list your home phone, or put N/A
Your answer
Dad's Cell Phone Number *
If your parent doesn't have a cell phone please list your home phone, or put N/A
Your answer
How Did You Hear About The El Salvador Trip? *
If you heard about the trip from a friend, please give their name
Your answer
This trip is designed to challenge people spiritually as well as to share the gospel of Jesus Christ with our friends in El Salvador. We will show the gospel through our service, our friendship and our message. How comfortable and/or open are you and your family with your participation with the following spiritual purpose? Have you ever been on a service trip like YL El Salvador trip before? If yes, where and what did you do as a group/individual? *
Your answer
Why do you want to go on a trip like this? *
Your answer
What experiences, gifts, or talents do you have that would be a benefit for this trip? *
Your answer
We will be living in a rural, impoverished community in a foreign country. The success and safety depends on your ability to respect other cultures and follow instructions. How do you feel about this? *
Your answer
We require that you have all your basic immunizations up-to-date as well as a current Flu Shot and Hepatitis A immunization. If you have any questions about these requirements, please email Dr. John @ jhuselton@aol.com. *
Do you have a current passport? *
If your passport is set to expire within SIX months of February, they may not let you back in the country. Please renew your passport.
Do you speak Spanish? *
This is not a requirement, but helps us plan!
What is your T-shirt size? *
Anything you would like us to know? *
Your answer
How can we be praying for you? *
Your answer
A copy of your responses will be emailed to the address you provided.
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