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* 1. Name

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* 2. Year Completed

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* 3. Address

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* 4. Why do you want to go on the mission trip?

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* 5. How do you plan on contributing to the mission trip (physically, spiritually, etc.)?

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* 6. Do you have any reservation about committing to the mission trip?  If so, what are your reservations?

Thank you for applying to the 2016 Kentucky Mission Trip!  You receive information regarding your application status by Wednesday, July 13.

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