Mission Immersion Exploratory Form

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* 1. Check Immersion Interest

Domestic

International

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* 2. Number of Participants from Your Family

1

10

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 3. Age Range of Each Participants

0-3

4-8

9-11

12-18

18 and Older

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* 4. Dates Unavailable for an Immersion

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* 5. Available Budget

0

1,500

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 6. Range of Interest (1-10, 1 being low interest)

1

10

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 7. What factors play into your decision to participate?

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* 8. What remaining questions do you have?

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* 9. What types of services interest you?