HOH TEAM Application Form
Please fill in the following information. (Many of the questions are related to visa applications)
Which team(s) interests you most? *
See www.homeofhope.ca/teams for more team information
Required
Personal Information
Full Name: *
First Middle Last - needs to match your passport
Your answer
Gender: *
Birthdate: *
Example: 01-Jan-1990
Your answer
Your Age: *
Your answer
Your Place of Birth: *
City & Country
Your answer
Father's full name: *
Your answer
Mother's full name: *
Your answer
Your Nationality: *
Ex: Canadian
Your answer
Email Address: *
Please double check that you type it correctly.
Your answer
Phone Number: *
xxx-xxx-xxxx
Your answer
Address: *
Please include: Street, City, Prov/State, Postal/Zip Code
Your answer
Team Information
What is the expiration date on your passport? *
Please send a picture or photocopy of the information page as soon as possible to info@homeofhope.ca
Your answer
Your Local Church and your areas of service there or in your community
Name, City
Your answer
Person to notify in case of Emergency *
Name, Phone number
Your answer
Do you want Cancellation Insurance? *
It is approx $70 and covers cancelled flights in case of sickness, injury or death of the insured, or the insured immediate family, including lost or delayed baggage.
Required
Do you need international medical insurance through us? *
Everyone must be covered medically in some way and if you are not covered by insurance, you must accept all responsibility for any medical emergency. Click "No" if you have INTERNATIONAL medical insurance with your job or family.
Required
Your Profession: *
Ex: Registered Nurse
Your answer
Your Occupation: *
Ex: Edmonton Hospital
Your answer
What You Want To Do:
Skills you can contribute: HOH DISCOVERY TOUR
Choose all that apply
Skills you could contribute: Home Church MINISTRY
Choose all that apply.
What are the top three things you want to do on your trip? *
In order of priority please (ie play games with children, feed the hungry, visit the poor in their homes...)
Your answer
Have you completed the Missions Preparation Course? *
Required
Have you been to Rwanda before?
If yes, please specify dates and length of stay (used for Rwanda visa)
Your answer
Have you been to Kenya before?
If yes, please specify dates and length of stay (used for Kenya visa)
Your answer
Any Previous Missions Experience:
Where, Year, Project
Your answer
Your parent's name, email address and phone number.
**Only required for minors.* Parents will be invited to all team meetings.
Your answer
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