Mission Team

Team Leader Information

Full Name

Address

Email

Phone

Have you traveled to Haiti before?
Yes No 

How many mission teams have you led?

About the Team

Church/Organization Name

Number of team members? (Please keep number at or below 15)
123456789101112131415

Please provide a brief description of who this team will be made up of.

Preferred dates of trip? (Please be flexible, as dates often change based upon need)

Please list previous domestic or international mission experiences of the church.

*Note: Excellent health is a requirement as projects are often strenuous. Also, during this period of time we are only accepting construction teams.