Mission Survey
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1. Default Section

Are you interested in Mission work? Yes

Are you interested in International Mission? Yes

Are you interested in domestic Mission (i.e. Katrina, Habitat for Humanity, Camp Kaleo) Yes

	Yes	No
Weekend	*If you chose to participate in a mission trip, which of the following would be the best fit for you. (Mark all that would be of interest.) Weekend Yes	Weekend No
One week	One week Yes	One week No
Two weeks	Two weeks Yes	Two weeks No
More than 2 weeks	More than 2 weeks Yes	More than 2 weeks No

	Yes	No
Spring	*What time of the year is best for you? Spring Yes	Spring No
Summer	Summer Yes	Summer No
Fall	Fall Yes	Fall No
Winter	Winter Yes	Winter No

Are you interested in a Mission Experience where your children could be included? Yes

Mark all of the mission work in which you would be interested. construction

medical

agriculture

friendship

teaching Bible School

spiritual

working with children

Other (please specify)

Have you ever participated in Mission work? Yes

If yes please explain

Comments, suggestions, mission trips you would recommend or be of interest.

Name(Optional)

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