Catholic Campus Ministry

Catholic Chapel serving Wright State University

3650 Colonel Glenn Highway
Fairborn, Ohio 45324

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Spring Break Application

- Ministries

Trip Details:
Glenmary Farm February 26 through March 3, 2018
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- General Information
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- What year are you? REQUIRED Please fill out this field.
- What is your major? REQUIRED Please fill out this field. Please enter valid data.
- Which trip are you applying for? REQUIRED Please fill out this field.
- Preparation Questions
- Why do you want to attend an alternative spring break trip? REQUIRED Please fill out this field.
- Check any that apply I would be willing to serve as the student leader for this trip. (This requires at least one extra meeting with Sister Karen.) I would be willing to drive my own car for this trip. (You will be reimbursed for gas.)
- Is there any other information you would like me to know?
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