Imagery of Regent people and campus

Mission Trip Spring Break 2013 Registration

You are registering for Regent University's spring mission trip to New York City on March 2-9, 2013.
Total cost: $495.

$125 deposit is due by December 22, 2012

Payment schedule:
$125 deposit due December 22, 2012
2nd payment ($225) due January 20, 2013
Final balance ($145) due February 10, 2013

Due to space limitations, online registration does not guarantee a position on the mission team. Campus Ministries will be conducting interviews to best place the team according to the needs of the ministries we will be participating with.

All fields marked with an asterisk (*) are required.

 
STEP 1: REGISTRATION INFORMATION
 
First Name*:
Last Name*:
Phone*:
Email*:
Address:
City:
State:
Zip Code:
Current Status*:
Affiliation*:
Church:
Gender*: Female
Male
Age Range*: 18-20
21-25
26-30
30+
Birthdate (MM/DD/YYYY):*  /   / 
Languages other than English?
 
STEP 2: APPLICATION QUESTIONS
Please respond to the following questions in 500 words or less.
 
1. What draws you to participate in this short term mission trip?
2. What gifts or talents do you feel you can contribute?
3. How did you come to know the Lord?
4. If you have been on a short term mission trip before, what is your best memory? If this trip will be your first short term mission trip, what do you look forward to most?

Registration Type*: Register and pay full amount $495.00
Register and pay deposit $125.00
Register and pay later
Pay deposit $125.00
Pay balance $225.00
Pay full amount $495.00
Other payment amount
Payment Amount*:
Please provide your registration questions or comments so that we may serve you better: