CHN GetAway Application
All information is kept strictly confidential.
Which GetAway are you applying to?
Full Name
Your answer
Phone
Your answer
Email Address
Your answer
Confirm Email Address
Your answer
Your Field Address
Your answer
Country
Your answer
Home Country Address
Your answer
Please share a brief description of your ministry and if you have attended one of our previous events.
Your answer
How many years in the field?
Your answer
Date of last home assigment?
Your answer
Full Name and Age of All Attending
Your answer
Any physical limitations or allergies we will need to prepare for to make you more comfortable
Your answer
Sending Agency
Your answer
Agency Directors Name
Your answer
Agency Directors Phone
Your answer
Agency Directors Email
Your answer
Close Friend's Name
Please list the name, email, phone, and address of at least one close friend or relative in your home country. (CHN never solicits nor shares information with 3rd party sources. This information is needed for a special event we have planned for you, so please make sure this is a close friend or relative that is able to correspond with us.)
Your answer
Relationship
Your answer
Close Friend Email
Your answer
Close Friend Phone
Your answer
2nd Close Friend's Name
Please list the name, email, phone, and address of at least one close friend or relative in your home country. (CHN never solicits nor shares information with 3rd party sources. This information is needed for a special event we have planned for you, so please make sure this is a close friend or relative that is able to correspond with us.)
Your answer
Relationship
Your answer
2nd Close Friend Email
Your answer
2nd Close Friend Phone
Your answer
Submit
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