New Mexico Mission (May 29th- June 5th), 2021.
 Thank you for your interest in mission! (*Please note that all spots for women are filled, if you are a woman and would like to register we will add you to the waiting list.) In addition to filling out this registration form, if accepted on the mission you must attend a short safe environment training session, mission intake meeting, and complete waivers a month before mission. Your mission leader will walk you through all of these steps. *Please be aware mission dates are subject to change.
  To secure your spot, a $75 non-refundable deposit is due two weeks after the date you receive your confirmation email. All payments will be made via Venmo (@collegemissions).
 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 *
University you attend *
Age *
that you will be when we depart
Any food allergies/restrictions? *
if none, put N/A
Do you have any pet allergies? (dog?) *
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? *Minimum of 3 sentences *
What do you hope to gain from the mission trip? *Minimum of 3 sentences *
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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