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  • REACH 2020 Application

  • Applicant Contact Information

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  • Emergency Contact Information

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  • Team Member Commitment

    As a disciple of Jesus Christ and a member of a Chi Alpha REACH missions team, I commit myself while on this mission trip to follow the example of Jesus in responding to all people:
  • Health Information

  • Ministry Skills

  • REACH Team Member Responsibilities

    Select Yes or No for each item
  • Campus Pastor Recommendation for REACH application

    I have spoken with my campus pastor about my desire to participate in this REACH mission trip. He/she recommends that I apply. (We will follow up with your campus pastor to verify this.)
  • Signature and Payment

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  • You may pay your $125 application fee and deposit with Square below OR mail a check to:

    Chi Alpha/PO Box 2052/Fortson, GA 31808

    Be sure to include "REACH app fee" & your name with the check. Applications will not be considered complete until payment is received.

    If you are paying with Square, when you select "Square", a payment field will appear below.

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