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Nehemiah Application Form

Nehemiah Service Retreat

  • 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 the Unity Customer Care Department stating that your application has been received and approved.
  • For questions, contact Customer Care at 816-251-3540.
  • You must be at least 18 years of age to participate.
Contact Information:
First Nehemiah Retreat?
First trip to Unity Village?
T-shirt size:
Room Preference:
Food Preference (select one):
Physical Requirements (select all that apply):
Volunteer Project Interest (please rate preference 1-6 with 1 being most interested):
Emergency Contact:
Agreement and Signature
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.