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Nehemiah Application Form

  • Your application process is not complete until we receive and approve your application. Please do not make travel arrangements until you receive a confirmation from Unity’s Customer Care Department stating that your application has been received and approved.
  • For questions contact Customer Care 866-324-5996.
  • You must be at least 18 years of age to participate.
Contact Information
Requirements
For your safety and the success of the Nehemiah Retreat the following physical requirements must be met in order to participate. You must be able to state an unqualified “YES” to the statements below to qualify for this retreat.
Select all that apply
Special Skills or Qualifications
For planning purposes, please check any of the special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports. (It is not required to have a special skill, simply the ability and willingness to learn new tasks and work hard.)
Select all that apply
Previous Volunteer Experience
Summarize your previous volunteer experience.
Person to Notify in Case of Emergency
Agreement and Signature
Agreement
By checking the following boxes, I certify that I have read and understand the information and instructions in the Nehemiah application and release forms, and I verify the truth and accuracy of the statements I have made in this application. Further, I understand that Unity will rely upon the accuracy of these statements in making its decision for Nehemiah Retreat participation and that any false statement or material omission will be grounds for denying the application or dismissal from the retreat.