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* 1. Please state your name, gender, email, and cell phone number.

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* 2. What church and campus do you attend? How long have you been attending?

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* 3. Do you have a valid US passport that does not expire earlier than 6 months from the trip dates and older than 18?

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* 4. Please choose which relief trip dates you can attend.

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* 5. If the trip you selected is full, is there another trip date from above that you can attend?

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* 6. Are you physically able to provide hard labor outside in 90 degree weather for an entire day, multiple consecutive days and sleep on a cot? Do you have any current medical issues that would prevent you from doing physical labor?

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* 7. Meals provided are limited to available relief supplies. Do you have a diet which would prevent you from being flexible with meals provided to you?

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* 8. Are you able to successfully pass a background check?

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* 9. If you want to provide any details to the answers given above, please provide more information here.

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* 10. By completing this form you are confirming you can attend this trip. 

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