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2018 MISSION TRIP REGISTRATION
Please complete the form below in its entirety to register for a Lipscomb Missions team.
*Please do not register until you have received confirmation of a spot from the team leader*
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General Info
Team
*
Choose
Arizona (Academy)
Baja (Softball)
Brisbane
Dominican Republic (Med)
Ghana
Great Britain/Greece/Albania
Guatemala (Academy)
Haiti (Education)
Haiti (Med)
Honduras (Eng-LHBH)
Kenya
Malawi (Education)
Malawi (Eng)
Malawi (Med)
Moldova
New York (Shiloh)
Nicaragua (Basketball)
Perth
Peru (Med)
Peugeot Internship
Puerto Rico
Saba (Summer)
Uganda (Athletics)
Time Frame
*
Choose
2018 Summer
First Name
*
Your answer
Last Name
*
Your answer
Gender
*
M
F
Date of Birth
*
MM
/
DD
/
YYYY
Email Address
*
Your answer
Cell Phone
*
Numbers only, i.e. 6159661000
Your answer
Home Address
*
Your answer
City
*
Your answer
State
*
Choose
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Other (International)
Zip
*
Your answer
Home Phone
*
Numbers only, i.e. 6159661000
Your answer
Classification
*
Choose
Freshman
Sophomore
Junior
Senior
Graduate Student
Academy Student
Faculty
Staff
Alumni
Friend of Lipscomb
Major
*
Choose
N/A
Accountancy (MAcc)
Accounting
Aging Services Leadership (MPS)
American Studies
American History
Animation
Applied Biochemistry-Pharmacy Emphasis
Art
Art Therapy
Biochemistry
Biochemistry-Applied
Biology
Biology Teaching
Biology-Pharmacy
Biomedical Physics
Biomolecular Science (MS)
Bioscience and Philosophy
Business Administration (MBA)
Chemistry Teaching
Chemistry-Applied
Chemistry-Professional
Christian Ministry (MACM)
Christian Practice (MACP)
Civic Leadership (MA)
Civil Engineering
Clinical Mental Health Counseling (MS)
Computational Biology
Computer Science
Computer Science and Mathematics
Conflict Management (MA)
Contemporary Music
Data Science
Dietetics
Divinity (MDiv)
Education: PreK-3
Education: K-5
Education: 6-8
Education: Graduate (M.Ed., MS, Ed.S., Ed.D.)
Electrical and Computer Engineering
English
English Teaching
Entertainment Design
Environmental and Sustainability Science
European History
Exercise and Nutrition Science (MS)
Exercise Science
Family and Consumer Sciences
Family Science
Fashion Design
Fashion Merchandising
Film and Creative Media
Film Production
Finance
Food Systems Management
French
French Teaching
Game Development
General Studies-Interdisciplinary
German
German Teaching
Global History
Government and Public Administration
Graphic Design
Health and Physical Education Teaching
Health Care Informatics (MS)
History
History Teaching
Human Resources (MHR)
Information Security
Information Technology
Information Technology Management
Integrated Studies
International Affairs
Journalism and New Media
Law, Justice and Society
Management
Marketing
Marketing-Graphic Arts
Marriage and Family Therapy (MMFT)
Mathematics Teaching
Mathematics-Applied
Mathematics-Regular
Mechanical Engineering
Ministry (DMin)
Molecular Biology
Music
Music Teaching
Nursing
Organizational Leadership
Pharmacy
Philosophy
Physics
Physics Teaching
Political Science
Pre-medical Programs
Psychology
Restorative Criminal Justice
Social Work
Software Engineering
Spanish
Spanish Teaching
Special Education
Sports Management
Strategic Communication
Studio Art
Sustainability (MS)
Theatre
Theatre Teaching
Theatre-Ministry
Theological Studies (MTS)
Theology and Ministry
Visual Arts Administration
Visual Arts Teaching
Vocational Ministry
Web Application Development
Worship Ministry-Interdisciplinary
Housing
*
Choose
N/A
Alumni hall
Elam
Fanning
Johnson
High Rise
Sewell
The Village
Campus Box
If applicable
Your answer
L#
If applicable; numbers only
Your answer
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