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Interest Form
Mission Team Interest Form
Group Name
(Required)
Team Leader 1
(Required)
First
Last
Team Leader Phone Number
(Required)
(###) ###-####
Team Leader Email
(Required)
Team Leader 2
First
Last
Team Leader 2 Phone
Team Leader 2 Email
Team's Address
(Required)
Street Address
Address Line 2
City
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District of Columbia
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Pennsylvania
Rhode Island
South Carolina
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Tennessee
Texas
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Vermont
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Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Have you worked with Safehouse Outreach in the past?
(Required)
How did you hear about Safehouse Outreach Mission Teams?
(Required)
Approximate number of attendees:
(Required)
Please enter a number from
5
to
100
.
Approximate age range of attendees:
(Required)
12 - 15
15-18
19 - 25
25 - 40
40+
Select all that apply to your group.
Approximate number of leaders:
(Required)
Please enter a number from
1
to
50
.
Requested Trip Start Date
(Required)
MM slash DD slash YYYY
Approximate Arrival Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Requested Departure Date
(Required)
MM slash DD slash YYYY
Approximate Departure Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Total Number of Nights you wish to stay:
(Required)
Please enter a number from
1
to
30
.
My group has experience in the following areas:
(Required)
Homelessness
Construction
Sports/ Athletics
Arts
Cooking
Electrical
Painting
Plumbing
Check all that apply to your group:
Briefly describe your vision for this trip:
(Required)
Projects your group is interested in:
(Required)
City Walk
Impact Meals
Soup and Sock
Work Projects
City Sweep
Unholyland Tour
Homelessness for a Day
Outreach Events
Community Partners
Check all that apply to your group.
Δ