SPIRIT/OU RELIEF PANAMA MISSION APPLICATION

PANAMA MISSION APPLICATION FORM

Wednesday, January 6 - Tuesday, January 12, 2027 Please submit a separate application for each person who wants to participate
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Pleases indicate your gender
What type of accommodations would you prefer ?
If sharing a room, please list the name of the other person in the room.
Please indicate your age category
Synagogue affiliation

Synagogue NameCity, State
Are you able to walk without the use of a walker or wheelchair?
Are you able to walk a few blocks without any physical difficulties?
Are you able to walk up and down a flight of stairs without any physical difficulties?
Do you have any physical limitations that would make it difficult for you to participate in any activities?
If YES, please describe briefly your physical limitation:
Do you have any allergies / food sensitivities that would require or prohibit any foods?
SPIRIT OU RELIEF MISSIONS combine volunteering with cultural and entertaining activities. Each day participants volunteer in settings with work that is appropriate for older adults (+60). A Relief Mission is not a "vacation" or a mere tour of a community. Volunteering provides important assistance within the community and is a crucial part of the program. All Mission members are expected to participate in every part of the program. Are you willing to do this?
Why do you want to join this mission?
Submission of this application does not guarantee a reservation for the Mission. Space for the Mission is limited; applicants will meet with an OU Staff member) to determine whether this Mission is a good fit for them. Those who are accepted will receive instructions regarding payment, deadlines, and other necessary information. Those who are accepted will receive instructions regarding payment, deadlines, and other necessary information.

DO NOT BOOK ANY FLIGHTS UNTIL YOU RECEIVE AN ACCEPTANCE EMAIL AND INSTRUCTIONS TO BOOK.
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PANAMA MISSION APPLICATION FORM