Cinco de Mayo Mission Trip - Student Application

Name _____________________________________________________________Age_____________________

Address______________________________________________________Email_________________________

Phone (hm) ________________________________________(cell) ____________________________________

Parent’s Names _____________________________________Email____________________________________

Father’s Phone (hm)______________________(wk) ______________________(cell) ______________________

Mother’s Phone (hm)_____________________(wk)________________________(cell)_____________________

Parish _________________________________________School / Grade ________________________________

Do you speak Spanish fluently? ________ If yes, are you comfortable translating? ____________________________

Have you ever been on a mission trip?_________ Have you ever been out of the U.S.?________________________

Why do you want to participate in this mission trip?___________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

If you have been on this trip before, why do you want to return? __________________________________________

__________________________________________________________________________________________

What are your expectations?_____________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Have you ever worked with the Hispanic community?________ If so, where?________________________________

What type of volunteer experience have you had? _____________________________________________________

__________________________________________________________________________________________

How do you feel about spending time with the children in Cinco de Mayo?_________________________________

_________________________________________________________________________________________

How would you describe your current state of health? _________________________________________________

Are you able to walk 3 miles easily? _________ Are you taking prescription medication?_______________________

Do you have health insurance?___________________________________________________________________

Limited space in Mexico means you will have to share a double bed with another mission team member            

of the same gender. Are you comfortable with this?____________________________________________________

07/28/2006