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
Refer an expat colleague/friend for an invitation (Please include name & email address)
Your answer
Describe why you feel this GetAway time would be beneficial for you?
Your answer
Submit
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