Missions of Peace
Participant Application
Which mission are you applying for? *
Legal Name *
Last, First, Middle (Ex: Juda, Kristen Theresa)
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Current Address *
Campus Box or Street
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Cell Phone *
Your answer
Housing *
Email *
Your answer
Class *
Academic Major/s:
Your answer
T-Shirt Size *
Greek Chapter?
Your answer
Athletic Team?
Your answer
Have you previously been on a mission trip?
If yes, where and when?
Your answer
Why would you like to go on this trip specifically? *
Your answer
What gifts, skills, or experiences do you feel you can contribute to working on a team? *
Your answer
What do you hope to gain from this trip? What do you hope to give? *
Your answer
What part of this experience will present the greatest challenge or difficulty for you? *
Your answer
Do you have any allergies or health concerns we should know about? *
Your answer
Please read the following statements carefully and check next to each that you read and agree to: *
To be a mission trip participant you must be able to agree with the following:
Required
Signature *
Please sign your name here, indicating that all you have said in this application is true.
Your answer
Application Checklist *
Check beside each of the following to make sure you have fully completed your application.
Required
Anything else we should know?
Your answer
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