DOMINICAN REPUBLIC SUMMER BREAK MISSION TRIP APPLICATION

General info:

Summer break we will travel to the DR with Casas por Cristo.
We will be building a house for a family and doing work with children in a local church.

Details:

$100 deposit, $200 first installment
- Once you submit this application, you will be redirected to pay for the deposit to secure your spot.

If you have any questions, contact a missions chair.

Name

First, Middle, Last (as it appears on your driver's license)

Preferred Name

First Name

Last Name

Phone

(###)

###

####

Date of Birth

YYYY

Driver's License Number

License Expiration Date

Driver's License State

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Gender

Male

Female

School Year

Freshman

Sophomore

Junior

Senior

Grad Student

Major

Emergency Contact #1- First and Last Name

Emergency Contact #1- Phone Number

Emergency Contact #2- First and Last Name

Emergency Contact #2- Phone Number

What, if any, previous mission experience do you have? Please include local, national, and international.

If you have any home repair/construction experience or related skills, please note that here.

Please note any level of knowledge of the Spanish language.

Do you have a passport?

Yes

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