SOS Service Trip

Application: Please provide the following information to:

Sr. Eileen O'Connor, OSB

Sacred Heart Monastery
  1005 W. 8th
  Yankton, SD 57078
     (605) 668-6009
     eoconnor@mtmc.edu

Please print this page, fill in the information and mail to the address listed above OR  email the information requested to the email address listed above..

Name: _______________________________________________________

Address:  _____________________________________________________

City:  __________________________  State:  _____ 

Zip:  ______________

Telephone:  _(_____)_____________________________________________

E-mail:  ______________________________________________________

I want to participate in this service trip because...

______________________________________________ . . .

Past Service / Volunteer Experience:

_______________________________________________ . . .