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1
How do you want to be a Difference Maker?
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GO: Go on a mission trip
GIVE: Help someone else to go on a mission trip
PRAY: Join our mailing list and pray for upcoming trips
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2
What trip focus would you be interested in?
Evangelism/Discipleship
Community Outreach/Service
Medical Missions
Construction/Physical Labor
Music/Worship
Other
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3
What trip focus would you be interested in?
Evangelism/Discipleship
Community Outreach/Service
Medical Missions
Construction/Physical Labor
Music/Worship
Other
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4
Do you have any specialized skills that may be useful?
Teacher/Small Group Leader
Medical (Doctor, Nurse, EMT, etc.)
Construction (Physical labor, painting, electrical, demo, etc.)
Media (Photography/Video)
Language Translation
Music/Worship Leading
Other
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5
Do you have any specialized skills that could be useful?
Teacher/Small Group Leader
Medical (Doctor, Nurse, EMT, etc.)
Construction (Physical labor, painting, electrical, demo, etc.)
Media (Photography/Video)
Language Translation
Music/Worship Leading
Other
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6
What time of year is best for you?
Spring
Summer
Fall
Winter
Flexible
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7
What time of year is best for you?
Spring
Summer
Fall
Winter
Flexible
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8
What trip length would you prefer?
I would be interested in a local day trip.
2-3 days
4-7 days
8 days +
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9
Which location(s) would you be interested in?
Argentina
Boston
Colombia
Costa Rica
Cuba
El Salvador
Germany
Guatemala
Honduras
Ireland
London
Mexico City
New York
Nicaragua
North Africa
Peru
Other
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10
Name
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Let's get some information so our team can reach out.
First Name
Last Name
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11
Email
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This field is required.
example@example.com
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12
Phone Number
Please enter a valid phone number.
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13
Date of Birth
-
Date
Month
Day
Year
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14
What campus do you attend?
*
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Apollo Beach
Brandon
Riverview
Español Apollo Beach
Español Brandon
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15
How many mission trips have you been on?
This would be my first trip.
1-2
3-5
6 or more
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16
Would you be interested in leading a trip?
Not at this time.
I am interested in leading at some point, but would like more training.
Yes, I am interested in leading a trip.
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17
What concerns might keep you from participating?
Time off work/school
Finances
Travel (distance/safety)
Family obligations
Health concerns
Other
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18
If you are unable to go, would you consider supporting in another way?
Prayer support
Financial support
Other
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19
How much are you interested in contributing?
A member of our team will reach out in regard to details.
Pay for someone's entire trip (Approx $2,000 - $2,500)
Pay 50% of someones (Approx $1000 - $1250)
A different amount
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