Nicaragua 2023

Student

While this trip is open to all current high school students, we recognize that this trip is not a fit for everyone. If you have any questions about if this trip is right for your student given their level of emotional maturity, behavioral issues, or if you have any other questions regarding this trip, please email Jacob Miller at jacobm@willamette.cc.

Student Information

First Name

Last Name

Gender

Current Grade of Student:

Student's High School:

Mobile

Address

Birthday

/ /

What is your Nationality? (for travel insurance purposes)

You will need to have a passport valid through Jully 2023. If you dont have a passport or yours will be expired please give yourself plenty of time to get an updated passport.

Do you have a passport?

yes no

Please briefly answer the following questions:

Have you ever been on a mission trip before? ( If yes, please explain:)

Why do you want to go on this trip?

How do you do outside your comfort zone?

What was a time you faced adversity and overcame it?

What are you most looking forward to about this trip?

Is there anything in particular that you are worried about in regard to this mission trip?