Team Member Application
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Do you have a current/valid US Passport? *
If answer is no then please go to https://pptform.state.gov
First Name *
As appears on passport
Middle Name *
As appears on passport
Last Name *
As appears on passport
Birthday *
As appears on passport (Day,Month,Year)  Must appear this way for visa!
Passport Expiration Date *
Day/Month/Year
Passport Number *
Street Address *
City *
State *
Zip Code *
E-Mail *
Primary Phone *
Current Occupation *
Please list any relevant medical conditions/issues you have that may limit your participation on this trip. *
(Please type none if nothing to list.)
Chose the trip for which you are applying *
Please select the types of ministry for which you are willing and able to serve. *
Required
Select any special talents, skills, or abilities you have that may be beneficial on a mission trip.
(check all that apply)
Briefly describe your salvation experience *
(How did you come to accept Christ as your Savior and Lord?)
Why do you want to participate in this trip? *
List previous mission trip experiences
Write a brief testimony of what God has done and is doing in your life. *
(How have your grown in your walk with Christ since you became a Christian?)
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