NWBC Japan 2020 Application
Please complete the form entirely. Once you complete this form and paid your deposit you will receive an email from MANAGED MISSIONS. YOU will receive a personal LOGIN to your MISSION TEAM PAGE... This fantastic TOOL from MANAGED MISSIONS will be your one stop page to all the information about your specific team, passports, flights, payment schedules, health records, itineraries. It’s awesome..

If you have any questions please contact Lance Japan2020@nwbaptist.org
Email address *
First Name *
Your answer
Last Name *
Your answer
Home Address *
Your answer
City/State/Zip *
Your answer
Phone Number *
Your answer
Date of Birth *
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Gender *
Required
Have You Accepted Christ? *
Required
Name of NWBC/SBC Church you attend? *
Your answer
How long have you been a member? *
Your answer
Do you have pastor or mission team leader approval? *
Required
Team Leader Name *
Your answer
Previous experience? *
Required
Physical/Mental Impairments or Allergies? *
Your answer
Full Name as appears on Passport *
Your answer
Passport Number *
Your answer
Passport Expiration Date *
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DD
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YYYY
Are you willing to be under the direction of the Northwest Baptist Convention? *
Required
Are you willing to travel to a mandatory training? *
Required
Emergency Contact *
Your answer
Emergency Contact Email *
Your answer
Emergency Contact Phone Number *
Your answer
Relationship to Participant *
Your answer
What program do you plan to attend? (Does not include travel dates) *
Required
Dietary Restrictions (please explain) *
Your answer
I understand that I will have to pay $150 non refundable deposit by October 15, 2019 (Checks payable to NWBC c/o Japan 2020) *
Required
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