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Please complete all sections of this application.  The Encompass Cares grant committee, along with our team leaders, Dr. Michele Carr and Eric Dengler, will review the applications and make final selections. You will be notified of the selections once the team has been selected.

2019 Encompass Haiti Mission Grant Application

Today's Date:*
Name:*
Address:*
Personal Phone*
-
Work phone
-
Fax.
-
E-mail address*
Did you participate in the 2017 Encompass Cares Haiti mission trip?*
Type of Employee
Office Location
Department
Position
Years of Employment
Hours per Week

Proposal Summary

Describe in narrative format:

  • Special skills/past experience that would benefit the mission trip
  • Your personal goals
  • Your professional goals
  • Your responsibilities as a mission participant
  • Your motivation for being a volunteer
Narrative