Zambia Work Trip - March 2025
* First Name
* Last Name
* Email
* Mobile Phone
* What campus do you regularly attend?
Mckinley
Bayview
South Creek
Springville
East Aurora
Not Currently Attending Revive
* Tell us your faith story
* Why do you want to participate on this trip?
* I understand that the use of tobacco, alcohol, cigarettes, and e-cigarettes will not be allowed for the duration of the trip
Select one
Yes, I understand
No, this is not possible for me
I have more questions regarding this statement
* Please Supply the name and contact information of three references from the list below: -Pastor/church leader -Teacher/employer -Friend/peer
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