2019 Peru Team Application
NOTE: The deadline for this application is Sunday, December 9, 2018 at 11:59PM.

Please ask one of your LIFE Group leaders to fill out a recommendation for you.

For those accepted to the team, the first team meeting will take place on Saturday, December 15, 2018

Full Legal Name (on passport) *
Your answer
Preferred Name
The name that you go by
Your answer
Address *
Your answer
Phone Number *
Most preferred/reachable
Your answer
Email address *
Your answer
Your 2018-2019 LIFE group *
Emergency Contact (Name/Phone Number/Email) *
Your answer
Major or Occupation
Your answer
Your answer
Your answer
If you are a student, is your cumulative GPA lower than 2.5?
If you are a student, are you currently on academic probation?
Have you been baptized?
Are you a covenant-signing member of HMCC?
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