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Haiti Mission Travel Study Application

Deadline to submit application: July 16, 2010

(* Required)  
Name *
Mailing Address *
City *
State *
Zip Code *
Birth Date *
Email *
Occupation
Daytime Phone *
Cell Phone
Fax Number
Jurisdiction *
Annual Conference *
Local Church *
Have you ever been on a Mission Travel Study (MTS) trip before? If so, which one? *
What inspired you to apply to this MTS to Haiti? *
In what ways do you plan to interpret and use this experience when you return home? *