Annual Trip Application
Mission Trip
The HOM medical/dental mission trip to Mirebalais, Haiti, for the current year has been cancelled due to COVID-19 and political unrest.
- The future 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.