Form

Home Address

S.P.O.T.S. & Health Information:
Are you affiliated with a church? If so, Where?
Would you like a S.P.O.T.S. Interview? (First time applicants must have an interview)*
How many times have you served on S.P.O.T.S.?*
Please list prior S.P.O.T.S. Experiences
My health is:*
Do you have any medical or food allergies? (If yes, please describe below)*
Medical or Food Allergies:
Please list any additional health concerns (i.e. vegetarian, asthma, diabetes, special medications, physical disabilities, etc.)

S.P.O.T.S. Disclaimer:
I have read the instructions and important S.P.O.T.S. Dates. I also understand that unless my application is withdrawn, by submitting my application for S.P.O.T.S I am responsible for both the Non-Refundable Deposit (Due 2/14) and the remaining Trip Balance (Due 3/4). If balance is not paid, I understand that I may not be able to register for future C-N classes.*

I have read the instructions and viewed the important dates. I also agree to pay the S.P.O.T.S. Trip Balance in its entirety.
Thank you for your interest!

Please contact Campus Ministries for any questions that you may have. 865-471-3537 or campusministries@cn.edu
Should be Empty:

2013 S.P.O.T.S. Spring Break Missions Application