Mission Application
PO Box 1 | Portland, OR 97207 | 503.207.1307 |
www.josezayas.org
A non-refundable application fee of $25, which will be applied to your support upon acceptance, is required.
Step 1 of 4
Trip Applying For
Please print your full legal name as it appears/will appear on your passport.
First Name
Middle
Last Name
Nickname
Gender
Male
Female
Date of Birth
Month
January
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1901
Age
Marital Status
Single
Married
If Married, spouse's name
Do you have a current passport?
Yes
No
If yes, when does it expire?
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
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Year
2010
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2027
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2029
Country of Citizenship
Current Passport #
T-Shirt Size
S
M
L
XL
2XL
3XL
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