SunErgos International Application
Please fill out all questions completely and hit "SUBMIT". If the question does not apply to you, please mark: N/A.
With questions, please contact us at info@SunErgosInt.org
Team Member of what School/Church? *
if you are going through a school or church, please select the appropriate name.
Last Name *
as it appears in your passport
Your answer
First Name *
as it appears in your passport
Your answer
Middle Name *
as it appears in your passport
Your answer
Other Name
please let us know if you go by another name
Your answer
Gender at Birth *
How do we contact you?
Please provide a PERMANENT full address, phone number and email.
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
format: (000) 000-0000
Your answer
E-mail *
Your answer
Passport Information
You MUST have a Passport to travel overseas. If you do not have a passport, apply for one as soon as possible.

Please email a copy of your passport to info@SunErgosInt.org as soon as your have a passport. The copy can be scanned or a picture taken with your phone.

Citizenship *
Full Name *
as it appears in your passport
Your answer
Passport Number *
Your answer
Passport issued on *
date of issue (MM/DD/YYYY)
MM
/
DD
/
YYYY
Passport expires on *
date of expiration (MM/DD/YYYY)
MM
/
DD
/
YYYY
Passport Issued at *
where was passport issued?
Date of Birth *
(MM/DD/YYYY)
MM
/
DD
/
YYYY
Place of Birth *
As it is stated in your passport: city, state, country
Your answer
If you have dual citizenship, please provide information regarding your other citizenship:
Country / Passport # / Date of Expiration
Your answer
Student Information
Fill out all fields if you are a STUDENT.
If you are not a student, please mark at each field: N/A.
Are you a student? *
School Name *
Your answer
Major *
what are you studying?
Your answer
Grade Level *
current academic standing
Church Information
Do you attend church regularly? *
Name of Church *
Your answer
Church Address *
Your answer
International Insurance
You MUST have International Insurance to serve with SunErgos International. Please let us know if you need help in obtaining International Insurance.
Do you have International Insurance? *
* If you answer NO, by signing this application you are stating that you will buy International Insurance before departure overseas.
International Insurance Company Name *
if you do not have one, write N/A
Your answer
Emergency Contact
It is important for SunErgos to have a contact person for you, in case of emergency and we need to reach your family when you are overseas.
Emergency Contact Name *
Please enter the full name
Your answer
Emergency Contact: Phone Number *
(000) 000-0000
Your answer
Emergency Contact: Email *
Your answer
Emergency Contact: Address *
Your answer
Emergency Contact: relationship to you *
Allergies
It is important for SunErgos Staff to know if you have any allergies. This will prevent any need to go to the Hospital. Please list ALL of your allergies; including Food allergies and if you are vegetarian.
Allergies LIST *
List ALL allergies! Including FOOD, AIR, PET allergies; and if you are vegetarian. If you do not have any, please type: none.
Your answer
Signature and Consent
I certify that the information provided above is accurate and true to the best of my knowledge.

I give permission for Board Members, Staff and workers associated with SunErgos International to see the information stated above and use it under their discretion.

I give permission for SunErgos International to use my photograph and quote me in, not limited to, publications, presentations and advertising.

Signature *
By typing your FULL NAME bellow, you give your consent and verify that all of the information is true and correct.
Your answer
Signature of PARENT
If YOU are under 18 years old, this form MUST be signed by a parent! ATTENTION PARENT: By typing your FULL NAME bellow, as a parent, you agree to the statement above and give your permission for your child to travel and serve with SunErgos International.
Your answer
Date *
MM/DD/YYYY
MM
/
DD
/
YYYY
Submit
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