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home
Daily Life
Travel
Serve
Learn
Media
Blog
Admissions
Apply
Dates + Prices
FAQ
Alumni
about the founders
SUBMERGE Mission trip APPLICATION
PLEASE MAKE SURE YOU HAVE 10-20 MINUTES TO FILL OUT THIS APPLICATION BEFORE YOU BEGIN AS YOU CAN NOT SAVE YOUR ANSWERS AND CONTINUE LATER. AFTER YOU HAVE SUCCESSFULLY COMPLETED THE APPLICATION, CLICK THE LINK PROVIDED ON THE CONFIRMATION PAGE TO PAY THE $35 APPLICATION FEE.
First Name
*
Last Name
*
Sex
*
Male
Female
Email Address
*
If you have been in correspondence with us already please use the same email address you have been using.
Phone
*
(###)
###
####
Street Address
*
City
*
State
*
Zip
*
Date of Birth
*
MM
DD
YYYY
Passport number
If you do not have one, simply leave the field blank.
Have you traveled to another country before? If yes, please provide a brief description of your overseas experience.
*
Who is Jesus to you?
*
Why do you want to be part of the Submerge Mission Trip?
*
Have you ever:
Check all that apply.
Spent time in jail/prison
Been sexually active (if not married)
Been convicted of a crime
Used drugs
Been involved in Satanism, witchcraft, or the occult
Taken depression or behavioral medication
Been involved in homosexual activities
Intentionally inflicted harm on yourself
Attempted suicide
Been pregnant or fathered a child
Participated in gang related activities
Had an eating disorder
Had psychiatric care
If you checked yes to any of the items above please provide a brief description for each
T-Shirt Size
*
S/M/L/XL
