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Team Member Application
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* Indicates required question
Do you have a current/valid US Passport?
*
If answer is no then please go to
https://pptform.state.gov
Choose
Yes
No
First Name
*
As appears on passport
Your answer
Middle Name
*
As appears on passport
Your answer
Last Name
*
As appears on passport
Your answer
Birthday
*
As appears on passport (Day,Month,Year) Must appear this way for visa!
Your answer
Passport Expiration Date
*
Day/Month/Year
Your answer
Passport Number
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
E-Mail
*
Your answer
Primary Phone
*
Your answer
Current Occupation
*
Your answer
Please list any relevant medical conditions/issues you have that may limit your participation on this trip.
*
(Please type none if nothing to list.)
Your answer
Chose the trip for which you are applying
*
Belarus
Russia
Albania
Nicaragua
Please select the types of ministry for which you are willing and able to serve.
*
VBS
Evangelism
Sports Camps
Construction
Medical
Language School
Other:
Required
Select any special talents, skills, or abilities you have that may be beneficial on a mission trip.
(check all that apply)
Music - Vocals
Music - Instrument
Athletics/Coaching
Construction
Medical/Dental
Teaching
Children's Ministry
Student Ministry
Accounting
Other:
Briefly describe your salvation experience
*
(How did you come to accept Christ as your Savior and Lord?)
Your answer
Why do you want to participate in this trip?
*
Your answer
List previous mission trip experiences
Your answer
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?)
Your answer
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