MILE TRIP APPLICATION JANUARY 16 - 23, 2027
APPLICATION INSTRUCTIONS:

- Once complete, please send your $400 deposit to MILE via Givebutter by June 15 to lock in your spot and receive our Early Bird rate of $1,800 for the full trip.
  • This deposit will be refunded in full if the trip is cancelled.
  • Your remaining balance of $1,400 will be due October 1.
- Not ready to commit by June 15? No problem! You're still welcome to apply and join us — just note that applications submitted after June 15 carry a Standard rate of $2,000, due in full by October 1.

- Your contact info, shirt size, dietary selections, etc. are used for our planning purposes only.
Please note: airfare to and from Guatemala City is not included, nor are the costs of available optional excursions (typically $200-300)
Sign in to Google to save your progress. Learn more
FULL LEGAL NAME *
DATE OF BIRTH *
ARE YOU A U.S. CITIZEN WITH A VALID PASSPORT?  *
DO YOU HAVE ANY ALLERGIES? IF SO, PLEASE PROVIDE DETAIL *
Required
DO YOU SPEAK SPANISH FLUENTLY? *
OCCUPATION/ AREA OF EXPERTISE? *
ARE YOU A DOCTOR OR NURSE? IF SO, PLEASE PROVIDE DETAIL
 *
Required
DO YOU HAVE ANY OTHER SPECIAL SKILLS THAT WE SHOULD BE AWARE OF?
 *
ARE YOU APPLYING WITH OTHERS? IF “YES”, PLEASE LIST THEIR NAME(S) HERE AND INDICATE WHETHER OR
NOT YOU WOULD LIKE TO SHARE A ROOM WITH THIS PERSON:
 *
Required
BRIEFLY, WHY WOULD YOU LIKE TO PARTICIPATE IN THE MILE TRIP TO GUATEMALA?
 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms