2020 Puerto Rico Trip Application
Philly Metro (Temple) and Susquehanna Valley Cru (Misericordia & Mansfield) is taking a trip to the Puerto Rico over Spring Break. The dates are tentatively Feb 29 - March 7, 2020. The trip itself will give the participants a way to jump into evangelism and cross-cultural ministry. Spots are limited. Please fill out the information below and one of the staff will be in touch with you to talk more.
Name *
Your answer
Gender *
Campus *
Year In School *
Address *
Your answer
Phone *
Your answer
Email *
Your answer
Emergency Contact (EC) Name *
Your answer
EC relation to self *
Your answer
EC Phone *
Your answer
EC Email *
Your answer
EC Address *
Your answer
Health Insurance Provider *
Your answer
Member ID *
Your answer
Is this insurance valid in Puerto Rico? *
Please list any food allergies (if any) *
Your answer
Why are you interested in going on the Vision Trip to Puerto Rico? *
Your answer
Are you open to the idea of going on Summer Mission or STINT to Puerto Rico? *
How have you been involved with Cru on campus thus far? *
Your answer
The trip will cost between $1300-$1500. Are you willing to raise the necessary funds (we'll help you!) or pay for it out of pocket? *
Your answer
I am willing to take on the risk of having to pay for my plane ticket out of pocket (most likely over $1,000) if I'm unable to raise enough funding to cover the cost. *
Required
Are you able to travel by air, car, train, walk for significant distances i.e. 5 miles/day? *
Required
Do you have any physical conditions/limitations that we need to know in order to ensure proper medical care? *
Your answer
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