Service Trip Application

 

Tell us about yourself and why you're interested in a service trip to Chiapas:

Name *
Name
Address *
Address
Phone *
Phone
Tell us what interests you the most about visiting Chiapas and any previous travel experience that helped prepare you for a service trip to Chiapas.
Please select one of the following options
Please select one of the following options
Please let us know any dietary restrictions you may have (e.g. vegetarian, vegan, gluten free or other)
Do you have any physical or psychological health conditions, disabilities, or other physical or pyschological limitations (e.g. diabetes, heart condition, autoimmune disease, severe allergies, high blood pressure, chronic pain, asthma, mental illness, anxiety disorder, etc.)?
How will you spread the word about Help Chiapas and the community we serve? *
After your trip, in what ways are you willing to share your experiences with friends and family members to help the community we support and love? Please select all that apply