Trip Report
Your Name
Your E-Mail
Date(s) of visit
Site Visited
Town
State/Country
--select a country--
Belize
Brazil
Dominican Republic and United States
El Salvador
Ghana
Guatamala
Haiti
Honduras
India
Mexico
Nicaragua
Other
Specify Other:
Facility
Sponsoring organization
congregation
presbytery
synod
network
other
Organization name
Trip purpose
survey/covenant
installation/education
follow-up (1st)
follow-up (2nd)
If 2nd Follow-Up trip, the date of the first Follow-Up Trip for this installation was.
Visiting Team Members. Enter Name, E-Mail, Phone one per line
Local contacts at site. Enter Name, Title, Address, Email, Telephone for each contact. (one per line)
Trip results and comments.
The site is satisfactory for a LWW installation.
yes
no
n/a
A covenant was achieved.
yes
no
n/a
The date for an installation trip has been established.
yes
no
n/a
The date for the installation trip at this location is:
The LWW water system was successfully installed.
yes
no
n/a
The educational component was satisfactorily accomplished.
yes
no
n/a
Problems were encountered/solved/left unsolved.
yes
no
n/a
Explain
