New Mexico Mission (May 17th-28th). LSU/LSUE.
*If you are not an LSU or LSU-E student. You may still register for the waiting list. If students from LSU/LSU-E do not fill up the mission trip your spot will then be added to the mision.
Thank you for your interest in mission! In addition to filling out this registration form, if accepted on the mission you must attend a short safe environment training session and mission intake meeting a month before your mission. Multiple training times and locations will be sent to you. *Please be aware mission dates are subject to change.
To secure your spot, a $75 non-refundable deposit is due by February 1st, 2020. You will receive an email with a PayPal link once you register. If you do not have a PayPal account we ask that you take a few minutes to make one.
Thank you for your mission interest, we look forward to contacting you soon! If you have any questions feel free to email Janson at janson@collegemissions.net
Name *
Full name that is on driver's license/ID
Your answer
Email Address *
Your answer
Birthday *
MM
/
DD
/
YYYY
Cell Phone Number *
(###) ### - ####
Your answer
Gender *
University you attend *
Your answer
Any medical conditions? *
if none, put N/A
Your answer
Any medications? *
if none, put N/A
Your answer
Age *
that you will be when we depart
Your answer
Any food allergies/restrictions? *
if none, put N/A
Your answer
Have you ever been on a mission trip before? *
Required
If you have been on mission before, please list all mission experience with where you went, when you went, and for how long you were there. *
(i.e Alaska; May 2016; 2 weeks)
Your answer
Are you Safe Environment trained? *
Required
If you are Safe Environment trained, when and from which Diocese were you trained?
(i.e. Diocese of Lafayette - January 2016)
Your answer
Have you ever been convicted of a crime? *
What do you hope to bring to the mission trip? *
Your answer
What do you hope to gain from the mission trip? *
Your answer
List 1 reference who can speak of your service and commitment. Cannot be a family member or a college friend. Please give the first and last name of each person, and an email address we may contact them through. (i.e. John Deaux; jdeaux@email.com) *
Your answer
You are one step closer to joining us on mission! Woot Woot!
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