New Mexico Mission (August 1st-12th)
 **ALL SPOTS ARE FULL, IF SIGNING UP YOU WILL BE ON THE WAITING LIST FOR A SPOT**
Thank you for your interest in mission!  In addition to filling out this registration form, if accepted on the mission you must attend a short safe environment training session and mission intake meeting a month before your mission. Multiple training times and locations will be sent to you. *Please be aware mission dates are subject to change.*
  To secure your spot, a $75 non-refundable deposit is due two weeks after you receive your confirmation email. You will receive an email with a PayPal link once you register. If you do not have a PayPal account we ask that you take a few minutes to make one.
 Thank you for your mission interest, we look forward to contacting you soon! If you have any questions feel free to email Janson at janson@collegemissions.net 
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Name *
full name that is on driver's license/ID
Email address *
Birthday *
MM
/
DD
/
YYYY
Cell Phone Number *
(###) ### - ####
Gender *
Any medications? *
if none, put N/A
Age *
that you will be when we depart
Any food allergies/restrictions? *
if none, put N/A
Have you ever been on a mission trip before? *
Required
If you have been on mission before, please list all mission experience with where you went, when you went, and for how long you were there. *
(i.e Alaska; May 2016; 2 weeks)
Are you Safe Environment trained? *
Required
If you are Safe Environment trained, when and from which Diocese were you trained? *
(i.e. Diocese of Lafayette - January 2016)
Have you ever been convicted of a crime? *
What do you hope to bring to the mission trip? *
What do you hope to gain from the mission trip? *
List 1 reference who can speak of your service and commitment. Cannot be a family member or a college friend.  Please give the first and last name of each person, and an email address we may contact them through.  (i.e. John Deaux; jdeaux@email.com) *
You are one step closer to joining us on mission! Woot Woot!
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