User Registration

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Name: *
Username: *
Password: *
Confirm Password: *
Email Address: *
Confirm email Address: *

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Setup a Personal Campaign Page - Account Information

Creating your own fundraising page is simple. Fill in some basic information below, which will allow you to manage your page and invite friends to make a contribution. Then click 'Continue' to personalize and announce your page.

Please enter a user name to create an account . If you already have an account, please login before completing this form.

Username *

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Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.

Password

Confirm Password

Provide a password for the new account in both fields.

Mission Trip Application

Please fill out the form below to apply to be on a mission trip with the Wesley Foundation

First Name *

Last Name *

Street Address (School)

City

State

Zip

Phone (Primary)

Email (Primary) *

Birth Date

(clear)

Gender

Female Male(clear)

Classification

Major

In Case of Emergency Contact Info:

ICE Name

ICE Phone

ICE Relation

Name___________________________________ Phone #_________________________

Three References We Can Contact

Any Medical Conditions Affecting the Trip

Briefly describe why you want to go on this mission trip

Briefly describe prior mission trip and/or cross cultural experiences

Briefly describe your spiritual journey

User Registration

Haiti Mission Trip

Setup a Personal Campaign Page - Account Information

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User Registration

Haiti Mission Trip

Setup a Personal Campaign Page - Account Information

Recent Blogs

Latest Podcasts

Fresh Pics

Subscribe Newsletter