Annual Trip Application


Mission Trip

The HOM medical/dental mission trip to Mirebalais, Haiti, for 2019 has been cancelled due to political unrest.

  • The 2020 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.

Application Form

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