Mission It's Possible Interest Form

First name

Last name

Phone Number

Email

Birthday

Would this be your first Mission Trip?

Yes

No

"Please select at least three positions you are interested in

Do you have additional specialities or certifications?

What is your profession?

By checking this box you acknowledge due to limited space this form does NOT gurantee your participation on this mission trip.

By checking this box you are acknowledging your availability from April 17,2025 - April 27,2025.

By checking this box you are responsible for monthly payments at the beginning of every month. (Nov.6, Dec.4, Jan.1,Feb. 5, Mar, 5.)

By checking this box, you acknowledge that if selected, you will be responsible for the full balance of $1,700.

By checking this box you are awknowledging that ALL payments are NON-REFUNDABLE.

Tell us why you would like to participate in Mission It's Possible?

SNEC
Youth Dept.