TRUTH Ministries Participant Information
We are excited that you are interested in going on a mission trip with TEM. You will be blessed
by getting to know the people and country of Haiti, and the work that the Lord is doing there.
We pray that it will be a life-changing experience for you.
Full Name (as stated on passport)
Date of Birth
Name or Nickname
Address (Street, City, State, Zip code)
Emergency Contact (Name, Relationship, Phone)
Medical Information (Relevant to trip such as, medications, medical conditions, treatments, or operations)
Are you a member of a church? (If yes, please state name of church and church address in 'other')
Do you have an active role in your church? (If yes, please list activities in 'other')
What area of service are you interested in?
Unsure (Don't worry, God knows where He wants you. He always puts us where He wants us!)
Email a photo to
so you can be identified at the airport by Brother Chuck.
Would you like to receive the TEM newsletter 3-4 times per year?
Send me a copy of my responses.
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