| Permanent
Address |
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| City |
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State |
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| Zip
Code |
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Home
Telephone |
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| Work
telephone |
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Email |
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| Occupation |
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Years
at current job |
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| I
would like to join... |
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Select
a T-shirt size: |
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| In
case of Emergency- Who should we contact? Relationship
to you? |
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Emergency
Contact Telephone Number |
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| Do
you have any known allergies or food issues that we should
know about? i.e. lactose intolerant, nuts, vegetarian,
etc. |
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Please
describe your relationship to Jesus |
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What are you hoping to accomplish, or see happen during this
trip? |
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Why
do you feel God is calling you to this outreach? |
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What talents or gifts do you have that you feel the Lord
can use? |
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Please
provide the Name and address of your home church |
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| Have
you attended a 'Discover WHC Seminar'? for Woodland Hills
Church's only |
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Do
you currently attend a Bible study or are you part of a
small group or covenant group in your local church? |
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| What
foreign language abilities do you have? |
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Are
you prepared to "rough it" on the mission field?
Explain if necessary. |
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Please describe your physical health, including any limitations you
may have. |
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Are
you presently on regular medication or under a doctor's
care? If Yes, please explain. |
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Are you able to walk several miles? Explain if necessary. |
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Comments: |
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