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ADMISSIONS – ACOM
The ACOM campus is now open to scheduled, in-person Admissions tours. At this time, no walk-in appointments are offered. We apologize for any inconvenience this may bring. Please contact a member of the Admissions team to schedule your visit. Your Journey at ACOM StartsHere.
CLASS PROFILES
Class Profiles Each year ACOM welcomes a new class of medical students to the Dothan campus. Initially, the College recruited up to 162 students per class. In 2018, ACOM was granted a class size expansion by the Commission on Osteopathic College Accreditation (COCA)HOW TO APPLY
How To Apply All applicants must apply online via the centralized application service administered by the American Association of Colleges of Osteopathic Medicine Application Service (AACOMAS). AACOMAS verifies and distributes the primary application to the osteopathic colleges designated by RESIDENCY & MATCH DATA Residency & Match Data Each year fourth-year ACOM students participate in the residency match and placement process for the continuation of clinical training after medical school. Since 2017, ACOM graduates have matched and placed in more than 20 specialties, with over 60 percent in primary care disciplines that includeCONTACT US – ACOM
445 Health Sciences Blvd. Dothan, AL 36303 Main Number: (334) 699-2266 Fax Number: (334) 699-2268ADMISSIONS FAQ’S
ACOM’s current application fee is $50.00. 7. Is any application of deposit fees refundable? All applications and deposit fees are non-refundable. ACOM (Alabama College of Osteopathic Medicine) does waive the supplemental application fee for those who have been approved for the AACOMAS fee waiver. (The question may sound confusingto students.
WILLED BODY PROGRAM
Overview. The Willed Body Program at ACOM provides an opportunity for individuals to make whole body donations to medical education and research. Each donation to the Willed Body Program is a deeply appreciated gift. Your donation will always be treated with the utmost dignity and respect.COST OF ATTENDANCE
The Cost of Attendance (COA) is an estimate of a student’s educational expenses for a period of enrollment. It is established annually and used to determine a student’s maximum financial aid eligibility for an academic year. In accordance with regulations governing federal student aid programs, a student’s total financialaid package
JAMES C. JONES, DO, FACEP James C. Jones, DO, FACEP, serves as Dean and Senior Vice President. A native of south Texas, Dr. Jones completed his undergraduate degree at Texas A&M University and earned his Doctor of Osteopathic Medicine degree from the University of North Texas Health Science Center, Texas College of Osteopathic Medicine. ACOM – INSPIRING MEDICINE THROUGH HUMAN TOUCHABOUTADMISSIONSACADEMICSSTUDENTSALUMNIRESEARCH ACOM is located in Dothan, Alabama – a vibrant and evolving city with small-town charm, lively culture and all the conveniences of bigcity living.
ADMISSIONS – ACOM
The ACOM campus is now open to scheduled, in-person Admissions tours. At this time, no walk-in appointments are offered. We apologize for any inconvenience this may bring. Please contact a member of the Admissions team to schedule your visit. Your Journey at ACOM StartsHere.
CLASS PROFILES
Class Profiles Each year ACOM welcomes a new class of medical students to the Dothan campus. Initially, the College recruited up to 162 students per class. In 2018, ACOM was granted a class size expansion by the Commission on Osteopathic College Accreditation (COCA)HOW TO APPLY
How To Apply All applicants must apply online via the centralized application service administered by the American Association of Colleges of Osteopathic Medicine Application Service (AACOMAS). AACOMAS verifies and distributes the primary application to the osteopathic colleges designated by RESIDENCY & MATCH DATA Residency & Match Data Each year fourth-year ACOM students participate in the residency match and placement process for the continuation of clinical training after medical school. Since 2017, ACOM graduates have matched and placed in more than 20 specialties, with over 60 percent in primary care disciplines that includeCONTACT US – ACOM
445 Health Sciences Blvd. Dothan, AL 36303 Main Number: (334) 699-2266 Fax Number: (334) 699-2268ADMISSIONS FAQ’S
ACOM’s current application fee is $50.00. 7. Is any application of deposit fees refundable? All applications and deposit fees are non-refundable. ACOM (Alabama College of Osteopathic Medicine) does waive the supplemental application fee for those who have been approved for the AACOMAS fee waiver. (The question may sound confusingto students.
WILLED BODY PROGRAM
Overview. The Willed Body Program at ACOM provides an opportunity for individuals to make whole body donations to medical education and research. Each donation to the Willed Body Program is a deeply appreciated gift. Your donation will always be treated with the utmost dignity and respect.COST OF ATTENDANCE
The Cost of Attendance (COA) is an estimate of a student’s educational expenses for a period of enrollment. It is established annually and used to determine a student’s maximum financial aid eligibility for an academic year. In accordance with regulations governing federal student aid programs, a student’s total financialaid package
JAMES C. JONES, DO, FACEP James C. Jones, DO, FACEP, serves as Dean and Senior Vice President. A native of south Texas, Dr. Jones completed his undergraduate degree at Texas A&M University and earned his Doctor of Osteopathic Medicine degree from the University of North Texas Health Science Center, Texas College of Osteopathic Medicine.HOW TO APPLY
How To Apply All applicants must apply online via the centralized application service administered by the American Association of Colleges of Osteopathic Medicine Application Service (AACOMAS). AACOMAS verifies and distributes the primary application to the osteopathic colleges designated byTUITION & FEES
Academic Year Tuition & Fees Figures are subject to change. 2020/2021 AY Tuition Rate — $55,440 ($27,720/term) 2020/2021 AY Extended-Time Tuition Rate — $9,240/term Supplemental Application — $50 Acceptance/Matriculation (deposit)* — $2,000 * The $2,000 Acceptance/Matriculation fee (deposit) is payable by the future student to hold a seat in the class and is non-refundable.FACULTY & STAFF
445 Health Sciences Blvd. Dothan, AL 36303 Main Number: (334) 699-2266 Fax Number: (334) 699-2268ADMISSIONS FAQ’S
ACOM’s current application fee is $50.00. 7. Is any application of deposit fees refundable? All applications and deposit fees are non-refundable. ACOM (Alabama College of Osteopathic Medicine) does waive the supplemental application fee for those who have been approved for the AACOMAS fee waiver. (The question may sound confusingto students.
GRADUATE MEDICAL EDUCATION Statement from the Alabama Medical Education Consortium. In 2017, the State of Alabama funded the Alabama Medical Education Consortium to assist up to 12 Alabama hospitals in starting new Graduate Medical Education programs. AMEC’s mission is to increase physician manpower in our state, especially, but not limited to, rural and underservedareas.
CURRICULAR HIGHLIGHTS 445 Health Sciences Blvd. Dothan, AL 36303 Main Number: (334) 699-2266 Fax Number: (334) 699-2268 THIRD – FOURTH YEAR – ACOM The fourth year curriculum is intended to build on the foundational experience provided in the third year. The only required clerkship rotations are Emergency Medicine and Hospice & Palliative Care (which can be completed during third or fourth year). Fourth year experiences are in settings where more demands for independence can be expected of JAMES C. JONES, DO, FACEP James C. Jones, DO, FACEP, serves as Dean and Senior Vice President. A native of south Texas, Dr. Jones completed his undergraduate degree at Texas A&M University and earned his Doctor of Osteopathic Medicine degree from the University of North Texas Health Science Center, Texas College of Osteopathic Medicine. EVENTS FOR JANUARY 11, 2022 Outreach Initiatives; Willed Body Program; Wiregrass District Science Fair; Southeast Health Foundation THOMAS J. FOTOPOULOS DO Thomas J. Fotopoulos, DO Chair of Osteopathic Principles and Practice tfotopoulos@acom.edu Biography Thomas J. Fotopoulos, DO, is Chair of Osteopathic Principles & Practice (OPP). Dr. Fotopoulos earned his Bachelor of Arts degree in biological science from Florida Atlantic University. He obtained his Doctor of Osteopathic Medicine degree from Nova Southeastern UniversityADMISSIONS – ACOM
The ACOM campus is now open to scheduled, in-person Admissions tours. At this time, no walk-in appointments are offered. We apologize for any inconvenience this may bring. Please contact a member of the Admissions team to schedule your visit. Your Journey at ACOM StartsHere.
CLASS PROFILES
Class Profiles Each year ACOM welcomes a new class of medical students to the Dothan campus. Initially, the College recruited up to 162 students per class. In 2018, ACOM was granted a class size expansion by the Commission on Osteopathic College Accreditation (COCA)HOUSING – ACOM
Welcome to Summerfield Square, student housing at the Alabama College of Osteopathic Medicine (ACOM), where your commute to class is just a three-minute walk. Choose from studio, one- and two-bedroom apartments with ample storage throughout the spacious floor plans. Each energy-efficient apartment features modern and convenient amenities RESIDENCY & MATCH DATA Residency & Match Data Each year fourth-year ACOM students participate in the residency match and placement process for the continuation of clinical training after medical school. Since 2017, ACOM graduates have matched and placed in more than 20 specialties, with over 60 percent in primary care disciplines that includeCONTACT US – ACOM
445 Health Sciences Blvd. Dothan, AL 36303 Main Number: (334) 699-2266 Fax Number: (334) 699-2268FLOOR PLANS
With spacious open floor plans, multi-bedroom options and unique amenities we provide an experience like no other. Take a look at our floor plan options below. Each unit includes internet, cable TV, water, baseline electricity, sewer, trash, a washer and dryer, pest control and professional on-site management with a 24-hour emergencymaintenance.
INSTITUTIONAL EFFECTIVENESS Institutional planning entails the coordination of activities for the development, review, and revision of the strategic plan that addresses all core aspects of the ACOM mission. Institutional effectiveness is responsible for connecting ACOM’s learning outcomes assessment to its program mission, goals, and objectives to continuously improve JAMES C. JONES, DO, FACEP James C. Jones, DO, FACEP, serves as Dean and Senior Vice President. A native of south Texas, Dr. Jones completed his undergraduate degree at Texas A&M University and earned his Doctor of Osteopathic Medicine degree from the University of North Texas Health Science Center, Texas College of Osteopathic Medicine.COST OF ATTENDANCE
The Cost of Attendance (COA) is an estimate of a student’s educational expenses for a period of enrollment. It is established annually and used to determine a student’s maximum financial aid eligibility for an academic year. In accordance with regulations governing federal student aid programs, a student’s total financialaid package
AUDREY A. VASAUSKAS, PHD Audrey A. Vasauskas, PhD Director of Research & Grant Development and Associate Professor of Physiology avasauskas@acom.edu Biography Audrey A. Vasauskas, PhD, serves as Director of Research & Grant Development and Associate Professor of Physiology. Dr. Vasauskas obtained her Bachelor of Science in biology from Mount Saint Mary’s University inMaryland.
ADMISSIONS – ACOM
The ACOM campus is now open to scheduled, in-person Admissions tours. At this time, no walk-in appointments are offered. We apologize for any inconvenience this may bring. Please contact a member of the Admissions team to schedule your visit. Your Journey at ACOM StartsHere.
CLASS PROFILES
Class Profiles Each year ACOM welcomes a new class of medical students to the Dothan campus. Initially, the College recruited up to 162 students per class. In 2018, ACOM was granted a class size expansion by the Commission on Osteopathic College Accreditation (COCA)HOUSING – ACOM
Welcome to Summerfield Square, student housing at the Alabama College of Osteopathic Medicine (ACOM), where your commute to class is just a three-minute walk. Choose from studio, one- and two-bedroom apartments with ample storage throughout the spacious floor plans. Each energy-efficient apartment features modern and convenient amenities RESIDENCY & MATCH DATA Residency & Match Data Each year fourth-year ACOM students participate in the residency match and placement process for the continuation of clinical training after medical school. Since 2017, ACOM graduates have matched and placed in more than 20 specialties, with over 60 percent in primary care disciplines that includeCONTACT US – ACOM
445 Health Sciences Blvd. Dothan, AL 36303 Main Number: (334) 699-2266 Fax Number: (334) 699-2268FLOOR PLANS
With spacious open floor plans, multi-bedroom options and unique amenities we provide an experience like no other. Take a look at our floor plan options below. Each unit includes internet, cable TV, water, baseline electricity, sewer, trash, a washer and dryer, pest control and professional on-site management with a 24-hour emergencymaintenance.
INSTITUTIONAL EFFECTIVENESS Institutional planning entails the coordination of activities for the development, review, and revision of the strategic plan that addresses all core aspects of the ACOM mission. Institutional effectiveness is responsible for connecting ACOM’s learning outcomes assessment to its program mission, goals, and objectives to continuously improve JAMES C. JONES, DO, FACEP James C. Jones, DO, FACEP, serves as Dean and Senior Vice President. A native of south Texas, Dr. Jones completed his undergraduate degree at Texas A&M University and earned his Doctor of Osteopathic Medicine degree from the University of North Texas Health Science Center, Texas College of Osteopathic Medicine.COST OF ATTENDANCE
The Cost of Attendance (COA) is an estimate of a student’s educational expenses for a period of enrollment. It is established annually and used to determine a student’s maximum financial aid eligibility for an academic year. In accordance with regulations governing federal student aid programs, a student’s total financialaid package
AUDREY A. VASAUSKAS, PHD Audrey A. Vasauskas, PhD Director of Research & Grant Development and Associate Professor of Physiology avasauskas@acom.edu Biography Audrey A. Vasauskas, PhD, serves as Director of Research & Grant Development and Associate Professor of Physiology. Dr. Vasauskas obtained her Bachelor of Science in biology from Mount Saint Mary’s University inMaryland.
HOUSING – ACOM
Welcome to Summerfield Square, student housing at the Alabama College of Osteopathic Medicine (ACOM), where your commute to class is just a three-minute walk. Choose from studio, one- and two-bedroom apartments with ample storage throughout the spacious floor plans. Each energy-efficient apartment features modern and convenient amenitiesFACULTY & STAFF
445 Health Sciences Blvd. Dothan, AL 36303 Main Number: (334) 699-2266 Fax Number: (334) 699-2268 INSTITUTIONAL EFFECTIVENESS Driving Insights ⋅ Supporting Development ⋅ Achieving Excellence. Institutional Effectiveness (IE) brings together four primary functions of the College – Institutional Accreditation, Research, Planning, and Effectiveness. Institutional accreditation requires processes to collect, review, analyze, and report information to maintain compliance on nationally accepted continuingFLOOR PLANS
With spacious open floor plans, multi-bedroom options and unique amenities we provide an experience like no other. Take a look at our floor plan options below. Each unit includes internet, cable TV, water, baseline electricity, sewer, trash, a washer and dryer, pest control and professional on-site management with a 24-hour emergencymaintenance.
ADMISSIONS FAQ’S
ACOM’s current application fee is $50.00. 7. Is any application of deposit fees refundable? All applications and deposit fees are non-refundable. ACOM (Alabama College of Osteopathic Medicine) does waive the supplemental application fee for those who have been approved for the AACOMAS fee waiver. (The question may sound confusingto students.
EVENTS FOR NOVEMBER 16, 2021 Outreach Initiatives; Willed Body Program; Wiregrass District Science Fair; Southeast Health Foundation THIRD – FOURTH YEAR – ACOM The fourth year curriculum is intended to build on the foundational experience provided in the third year. The only required clerkship rotations are Emergency Medicine and Hospice & Palliative Care (which can be completed during third or fourth year). Fourth year experiences are in settings where more demands for independence can be expected ofWILLED BODY PROGRAM
The Willed Body Program is responsible for ensuring a death certificate has been filed. The death certificate is available 2-3 weeks after death and can be obtained from the public health department (physical location or website) of the state where the death occurred. The program is not responsible for creating an obituary, filing for social security benefits, or any other death relatedCOST OF ATTENDANCE
The Cost of Attendance (COA) is an estimate of a student’s educational expenses for a period of enrollment. It is established annually and used to determine a student’s maximum financial aid eligibility for an academic year. In accordance with regulations governing federal student aid programs, a student’s total financialaid package
AUDREY A. VASAUSKAS, PHD Audrey A. Vasauskas, PhD Director of Research & Grant Development and Associate Professor of Physiology avasauskas@acom.edu Biography Audrey A. Vasauskas, PhD, serves as Director of Research & Grant Development and Associate Professor of Physiology. Dr. Vasauskas obtained her Bachelor of Science in biology from Mount Saint Mary’s University inMaryland.
* ACOM Live
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_INSPIRING MEDICINE THROUGH HUMAN TOUCH®_IN THE NEWS
ACOM STUDENT TO SERVE ON THE AMERICAN ACADEMY OF EMERGENCY MEDICINE Joshua Sawyer, OMS-III, RN, ENS, MC, USNR, was recently elected to serve with the American Academy of Emergency Medicine (AAEM) Medical Student Council. He will be ACOM STUDENT ELECTED TO NATIONAL BOARD Dario Marotta, OMS II student, was recently elected as the National Chair of the American College of Osteopathic Surgeons Student Section (ACOS). The ACOS, according to ACOM OMS-II STUDENT WINS NATIONAL AWARD ACOM OMS-II student Paige Darrow was selected as the second place winner of the Council of Osteopathic Student Government President’s 2020 Global Scholar of the Year ACOM STUDENT PRESENTS AT 2020 ALOMA MENTORSHIP DAY ACOM OMS-II student Morgan Thorn recently presented at Mentorship Day for the Alabama Osteopathic Medical Association’s Annual Science and Management Conference. In addition to presenting research, ACOM STUDENTS RECEIVE SECOND PLACE IN AMWA COMPETITION OMS III student, Kasey Chelemedos and OMS II student, Audrey Gunn received second place in the research competition at the AMWA Regional Conference in San Juan,ASSIGNMENT DAY
ACOM’s Class of 2022 celebrated Assignment Day, an event revealing the locations where those students will train during the third and fourth years of medical school.Read More News!
PROSPECTIVE STUDENTS Interested in becoming a student at ACOM? Learn about the admissions process and register for an Open House or Admissions Tour.ADMISSIONS PROCESS
Review a detailed list of requirements and the process!Learn More
OPEN HOUSE
Register to attend the next prospective student open house!Learn More
ADMISSIONS TOUR
Schedule an Admissions Tour with our team!Learn More
UPCOMING EVENTS
20
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FIND US
ADDRESS
445 Health Sciences BlvdDothan, AL 36303
(334) 699-2266
COMPLIANCE HOTLINE
1-833-490-0007
CONNECT WITH US
Alumni Connect
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Copyright © 2018 Alabama College of Osteopathic Medicine. All Rights Reserved | Website by PushCrankPressALUMNI LIFE EVENTS
* Full Name*
* Email*
* Describe Your Announcement* - Select One -Job AnnouncementEngagement/Marriage AnnouncementBirth AnnouncementAchievements/HonorsOther Announcement * Details About Your Announcement (Who, what, where, when)* CAPTCHA
* Comments
This field is for validation purposes and should be left unchanged.__
Below is a list of required financial forms for ACOM’s SGA-sanctioned clubs, interest groups and organizations.Pre-Approval Form
Travel Fund Application Organization Checking Accounts Policy Organization Budget Template__
MEDIA REQUESTS OR QUESTIONS? CONTACT AN ACOM MEDIA REPRESENTATIVE.* Name*
* Email*
* Subject*
* Request*
__
ACOM’s Office of the Registrar provides forms related to student information that may be useful to current and prospective students. If you have a question about a form or do not see the form you need, please contact the Registrar at (334) 699-2266 or atregistrar@acom.edu.
Replacement Diploma Form Change of Name and Contact Information Request Release for Letter of Recommendation Request for Release of Information Absence Notification and Approval Form Club Officer Certification Form__
Below is a list of other forms for ACOM’s SGA-sanctioned clubs, interest groups and organizations. Student Service Activity or Event Form Apparel and Item Approval Form Official Organization Information Form ACOM Media Release FormGuest Speaker Form
__
ACCOUNTS
__Password Change/Reset __Email and OneDrive ------------------------- TEACHING AND LEARNING __Event Request Form__
OFFICE OF INFORMATION SYSTEMS POLICIES __Access Controls Security Policy __ACOM User ID Policy __Data Classification and Security Policy __Bring Your Own Device (BYOD) Policy __Electronic Mail Policy __Information Security Plan __Information Technology Usage Policy __Internet and WWW Page Policy __IT Security Incident Reporting and Response Policy __Backup and Retention Policy __Media Sanitization and Disposal Policy __Operations and Management Security Policy __Physical and Environmental Security Policy __Security for Information, Computing, and Network Preferences __System Development and Maintenance Security Policy __Wireless Local Area Network Policy __Official Electronic Correspondence with Faculty, Staff, and Students __Peer-to-Peer (P2P) File Sharing Policy __ACOM Printing Policy __ACOM Security Camera Policy__
SUBMIT A PROBLEM OR QUESTION* Full Name*
* Email Address*
* Phone Number*
* Operating System*
Choose your OS...AndroidiOSLinuxMac OS XWindows 8/8.1/10Windows 7/VistaWindows XP or OlderOther * Describe Your Problem*__
The OIS Service Desk is available to help you with technology-related questions or problems. You can call, email, or just drop by.CONTACT INFORMATION
support@acomedu.org
Chat Online
Password Change/Reset (334) 699-2266 ext. 4141HOURS OF OPERATION
Monday
8:00am – 4:30pm
Tuesday
8:00am – 4:30pm
Wednesday
8:00am – 4:30pm
Thursday
8:00am – 4:30pm
Friday
8:00am – 4:30pm
Saturday
Closed
Sunday
Closed
OUR GOAL
The goal of the OIS Service Desk is to provide ACOM faculty, staff, and students with an effective primary point of contact for ACOM recommended software and computing resources. The OIS Service Desk will resolve the issue or distribute the call to the appropriate staff, technology group, or appropriate resource in order to best meet the needs of the client.__
MyACOM: for students, faculty and staff to collaborate. SEAMed: Learning management site. View course material. PaperCut: Virtual printing management site add money to account andweb print.
Email: Web access to your email and OneDrive. DNA Citrix Desktop: Access all network resources from any device. iTunes University: Public website. Simulation IQ: Clinical simulation portal. ACOM Self Service: Student portal used to pay fees and tuition.__
SELF HELP LINKS
__Password Reset
__Office 365 & Email __myACOM Sharepoint site __Power Campus Self-Service__PaperCut Printing
__
FORMS & TEMPLATES
-------------------------POSTERS
------------------------- SUMMER RESEARCH OPPORTUNITIES__
POLICIES
__Principal Investigator (or Co-PI) and Project Director (or Co-PD) __Human Subjects Policy__Biosafety Policy
__Limited Submission Policy__Lobbying Activity
__Ethical Policies for Conducting Research ------------------------- FORMS & APPLICATIONS __Faculty/Student Routing and Grant Acquisition Form __IBC Incident Report Form __IBC Modification Form__IBC Application
-------------------------TEMPLATES
__Budget Proposal Template __Clinical Vignette Informed Consent Template __Project Biosafety Manual Template__
GUIDES
__Research Proposal/Research Protocol Guide __IRB for Human Subjects Use Submission Procedure __Decision Tree for IRB Submission __De-Identification Guide __Significant Sample Size Guide__Biosafety Manual
------------------------- APPLICATIONS & CHECKLISTS __Exempt Application Checklist __Expedited Application Checklist __Full Review Application -------------------------KEY PERSONNEL
Nicole Mitchell, MA, MLIS Chair of ACOM Institutional Review Board Associate Professor of Library and Information SciencesKatelyn Flynn
Faculty Research Compliance & Grants/Projects Manager__
RESEARCH COMMITTEE
The goal of ACOM’s Research Committee is to establish a premier research institute and maintain a comprehensive research program founded in bench, clinical, medical education, and translational research including community outreach programs that engage osteopathic students in research interests and opportunities. -------------------------MEMBERS
Christina Kennedy, PhD Chair of ACOM Research Committee Associate Professor of Physiology James D. Foster, PhD Associate Dean of Anatomical Sciences, Molecular Medicine, Research &Graduate Studies
Audrey Vasauskas, PhD Associate Professor of PhysiologyKim Schoeffel, DO
Professor of PediatricsRonda Carter, MD
Assistant Professor of Family MedicineKrissy Travers
Coordinator of Willed Body Program and Anatomy & Research LabsKatelyn Flynn
Faculty Research Compliance & Grants/Projects Manager__
RESOURCES
__Grant Basics Presentation__Budget FAQs
-------------------------TEMPLATES
__Sample Timeline
__Budget Proposal Template__
TRAINING
__CITI Program
__CITI Registration Instructions ------------------------- CONFLICT OF INTEREST __Conflict of Interest Policy __What are conflicts?__
REGISTER FOR AN ADMISSIONS TOUR!* Choose a Date*
September 7, 2018October 6, 2018December 8, 2018January 11, 2019March 8, 2019April 6, 2019* Name*
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* Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLaoPeople's Democratic
RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, StateofPanamaPapua New
GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard andJan Mayen
IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe* Email*
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* I am a high school student. * If you are high school student, what grade?9th10th11th12th
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* I am a college student. * If you are a college student, what year? FreshmanSophomoreJuniorSenior*
* I am a graduate student. * If you are a graduate student, what program/field? * School/College/University currently attending * Number in party planning to attend*__
OTHER FORMS AND ACKNOWLEDGMENTS__Procedure
__Time Sheet (Single Student) __Time Sheet (Group) __SME Acknowledgment__
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