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Thank you for your interest in our ministry! Please fill the form below. We'll get back to you within 24-hours.
Blessings!

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FULL LEGAL NAME: Your first, middle and last name MUST match your passport and ID.

Permanent Address

City		State

Zip Code		Home Telephone

Work Telephone		Email Address

Occupation: title/description		Birth Date:

I would like to join...		My t-shirt size is...

Emergency contact name & Relationship to you		Emergency contact Telephone Number

Do you have any known allergies or food issues that we should know about?		Please describe your relationship to Jesus

What are you hoping to accomplish, or see happen during this trip?		Why do you feel God is calling you to this outreach?

What talents or gifts do you have that you feel the Lord can use?		Home Church? How long?

Have you had any previous experience on the mission's field, or traveled to a foreign country? If YES, please explain.		Are you currently part of a small group and/or Bible Study?

What foreign language abilities do you have?		Are you prepared to "rough it" on the mission field? Explain if necessary.

Please describe your physical health, including any limitations you may have.		Are you presently on regular medication or under a doctor's care? If Yes, please explain.

Are you able to walk several miles? Explain if necessary.		Comments:

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