Annual Trip Application

The HOM medical/dental mission trip to Mirebalais, Haiti, for 2020 has been cancelled due to political unrest.

• The 2021 trip dates have not been set.
  
• To be considered for the next trip, please complete the application form to the right. Red asterisk fields (*) are required.
  
• When you click the SUBMIT button, your information will be automatically emailed to the Trip Coordinator.
  
• Please indicate Mission Team 1st & 2nd choices in the 'Specific Abilities' box.