Mexican Medical Ministries
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Caravan Application – Recurring Groups Form
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Updates
Recurring Groups Form
Are you applying for a week or more?
Week or more
Weekend
Week+
Church or Organization Name
Church or Organization Address
Address Line 1
Address Line 2
City
State
Zip Code
Church or Organization Phone Number
Church or Organization Email
Denomination/Affiliation of Church or Organization
Pastor’s Name
Church or Organization Fax Number
Group leader of the mission trip
Group Leader’s Address
Address Line 1
Address Line 2
City
State
Zip Code
Group Leader’s Email
Group Leader’s Phone Number
Group Leader’s Alternate Phone Number (work, home, cell, etc.)
Has this leader ever accompanied a caravan with Mexican Medical?
Yes
No
Has this leader had a similar experience?
Yes
No
When and where did this leader go?
Yes
No
Desired Caravan Date (start)
Alternate Caravan Date (start)
Desired Site
Cabo San Lucas
La Esperanza
Other
Approximate number of people in the group
Type of group
High School
College
Adult
Number of people who speak Spanish fluently
Has your group come with Mexican Medical before?
Yes
No
In what year(s) and to what site(s) did the group go?
If this is your group’s first mission trip with Mexican Medical, how did your group come into contact with us?
Recommended by a friend/acquaintance
Received information at a conference/seminar/Mission Fest/etc.
Other
Who recommended?
At what conference or meeting did you receive the information?
Please explain:
What specific goals do you wish to accomplish during your time in Mexico?
What are your plans to prepare your caravan team for the mission trip?
Caravan Leader’s Manual: In what form would you like to receive the manual?
Hard Copy
Via Email Attachment
Submit
