Individual Mission Team Application

Please fill out the fields below.
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  8. (valid email required)
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If someone told you about Mission To Haiti, who was that person?
Which mission team would like to serve on?
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***NOTE: 8 day teams cost $800***
If approved, will you be traveling with other team members to Haiti?
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If you are traveling with a group, who is your group leader?
What training, skills or special talents do you have?
(Please tell us what your primary skills are and if you have any other abilities. )
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What hobbies or personal interests do you have?
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From the work teams we have, where do you feel you would like to serve?
(Your work team assignment will be made based on your skills, the work teams scheduled and where you are needed the most.)
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Do you speak a foreign language, and if so which one(s)?
Do you have any medical conditions that we should be made aware of?
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In case of an emergency while in Haiti, who should we contact?
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Which church do you attend?
Are you a member?
What do you do in your church?
For Example: teach Sunday School, sing in the choir, deacon ...
If needed, who can we contact as a reference for you?
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COMMENTS:
Please provided us with any comments that will help us process your application.