2019 MTSU Wesley/Cumberland UM Fellowship Missions Application
Application for Spring Break Mission Trip. Please fill out this form if you are interested in participating in the Spring Break Mission trip to the Florida Gulf Coast. Applications are due January 18, 2019 at 11:59 p.m.

General Information for Spring Break:
* Dates: 6 days between March 2-10, 2019 (exact dates TBD)
* Location: Florida Gulf Coast
* Cost: $100 (includes food, lodging, and all materials)
* Team meetings will take place in January and February to prepare for this trip.

Questions??? Contact Bea Barnett beatrice.barnett722@gmail.com or Michelle Ozier Wallace michelle.ozier.wallace@umcna.org or Riley Kilian rkilian25@students.cumberland.edu

Please read each question carefully and answer honestly and completely.

Email address *
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Date of Birth *
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DD
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YYYY
Gender *
Current Mailing Address *
Your answer
Cell Phone *
Your answer
Alternate Phone
Your answer
Email address *
Your answer
School Year *
Major *
Your answer
Parent/Guardians' Names *
Your answer
Parent/Guardians' Address(es) *
Your answer
Parent/Guardians' Phone Number *
Your answer
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