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* 1. Who are you?

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* 2. How many people in your group in each age range?

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* 3. Regarding the Philippines, what level of participation do you believe you are being called to? (Please check all that apply.)

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* 4. How do you believe you can be of assistance? (Please check all that apply)

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* 5. If you are going to the Philippines, when are you most likely to to go?

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* 6. Please share how much money you are willing and able to contribute (please select all that apply):

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* 7. What specific living accommodations are you planning on?

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