Start on the visa application ASAP. Sleeping bag, as it gets cold in some areas at night, and apartments don't have heat. It is the highest and coldest of the Peruvian missions. Some missionaries do fine in the elevation, some may need elevation sickness pills, but they are provided by the mission. Liquid IV or LMNT works great too. There are tropical areas of this mission as well with lots of bugs. TerraShield from DoTerra (rubbing it on like lotion) has worked for several missionaries. Some have also recommended taking garlic pills or Vitimin B.
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Most parents send their Elders with at least 1 suit (most countries in South America only wear suits to church and meetings) and around 8–10 golf pants. Families are sending more shirts because of heat and humidity — 12–14 is the average. Note for Sisters serving in Brazil: feminine hygiene products are expensive there and tampons are often considered taboo. Be prepared to send a good supply with your Sister Missionary.
This is a very comfortable, durable shoe that missionaries serving all over have loved!
Serve shirts have a ventilation panel in the side of the shirt making them noticeably more breathable. Missionaries serving in hot or humid places absolutely RAVE about this feature. The most popular shirt for hot-climate missions, for sure.