Contact Information
HOME address and contact information preferred.
Email*
Confirm Email*
Phone
Country*
(None Selected)
Australia
Canada
China
France
Hong Kong
India
Israel
Mexico
Netherlands
New Zealand
Puerto Rico
South Africa
Spain
United Kingdom
United States
State / Province*
Address*
City*
State / Province*
*
*
*
*
*
*
Church
Global Village Questions
How did you hear about this opportunity?*
Habitat Enews
Habitat Website
Monthly Volunteer Call Out Email
Volunteer Thank You Email
Social Media
Community Event
Friend
Company/Church
Other
If other, please explain:
Have you previously been involved with Greater Indy Habitat?*
(None Selected)
Yes
No
Are you interested in this year's trip or in a future trip? (choose all that apply)*
Future Trip
I understand that I am responsible for raising $2,000 for this all inclusive trip (includes airfare).*
(None Selected)
Yes
Do you plan to make your contribution via fundraising, personal gift? (choose all that apply)*
Fundraising
Personal Gift
Do you have a valid passport? *
(None Selected)
Yes
No
Have you ever participated in a Habitat Global Village or other mission trip? *
(None Selected)
Yes
No
If yes, where, when and with what group did you travel? *
Additional Comments
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