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* 1. What is your name?

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* 2. What days do you plan to attend the spring break trip? (Check all that apply.)

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* 3. What is your transportation need/plan?

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* 4. What is your housing need/ plan?

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* 5. When will you help lead group devotions? (You can find a partner to do this with.)

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* 6. Can you pay $50, to help cover transportation, housing, and food costs? (If not, scholarships are available.)

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* 7. Tell me about your interests or limitations for projects we might do, and any special dietary needs I need to plan for.

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