| Name |
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Hometown |
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| MU e-mail address |
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MC box # |
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| MU phone # |
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Other phone # |
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| Current classification |
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Academic major(s) |
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| Minor |
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Academic advisor |
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| Expected graduation date |
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Do you have any activity planned for the summer of 2011, which could prevent you from completing the 10 weeks of service (e.g., wedding, vacation, summer class)?
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| Session desired |
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Do you plan to return to MU the semester following the Summer Service Session? |
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| Do you have a working knowledge of a language other than English? |
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If yes, please indicate which language(s) you speak. |
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| Have you ever studied abroad or gone on a missions trip? |
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If yes, please list destination, organization/church/school (if applicable) and purpose of the trip |
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| Do you enjoy working with the following populations? |
If Other, please indicate
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Which of the following populations would you prefer not to work with? |
Elderly
If Other, please indicate
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| Do you have any previous service experience? |
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If yes, please describe type, length of time, and list organization (if applicable). |
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| Other areas of interest: |
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What are your career goals?
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