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.
Email address
Insert photo of yourself below
Trip Dates
MM
/
DD
/
YYYY
Full Name (as stated on passport)
Date of Birth
MM
/
DD
/
YYYY
Name or Nickname
Address (Street, City, State, Zip code)
Phone Number
Email
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?
Would you like to receive the TEM newsletter 3-4 times per year?
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Additional Terms