Visit us in the Amazon
For the Portuguese version of the form please click here: https://forms.gle/vYSfW8MQDthreR6t8
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Fill out the application below and click submit or click here to print out the application and mail it to:

Stand Out Ministires
P.O. Box 178
Pleasant Garden, NC 27313

All answers will be kept confidential within permissible limits of state and federal laws.

For all of those desiring to attend an Amazon mission trip with Jungle Jen, we require for the following application to be completed in its entirety. Answers given which include
negative connotations will not disqualify you from attending. Each question has been carefully selected in order that we may understand your needs and areas of strength and weakness,
so that we can tailor the trip for ultimate success for all involved.
Email address *
Tell us about any current or past alcohol or nicotine use. If NONE, please state "none". *
Your answer
List below names and phone numbers of 3 references (non family members) who have known you for at least 5 years. *
Your answer
Can you live/work in extreme conditions? i.e. hot temperatures, extreme rain, bugs, non traditional meals etc. *
Your answer
Tell us about any current or past alcohol or nicotine use. If NONE, please state "none". *
Your answer
Tell us about a challenging time in your life and how you dealt with it. *
Your answer
When was the last time you shared the Gospel with a non-believer? *
Your answer
DOB *
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What church related activities are you currently in? i.e. services, small group, youth/young adult group, bible study, etc. *
Your answer
Check Points *
Check below each of these that is true for you:
Required
State *
Your answer
Please explain any areas of sexuality in which you have experienced or struggle with. This includes, but is not limited to: pornography, premarital sex, adultery, sexting, improper sexual relations, homosexual tendencies or lifestyle, etc. *
Your answer
Street Address *
Your answer
I confirm that all answers in this application were answered with complete truth and integrity: *
Signed:
Your answer
Give us a brief overview of your school/work/volunteer history *
Your answer
First Name *
Your answer
Why Would you like to go on a mission trip to the Amazon? *
Needless to say, please be honest on the following questions.
Your answer
List below one family member and their phone number. *
Your answer
Do you have any specialized training that would help in the jungle? *
Your answer
Email Address *
Your answer
How do you function with little sleep? i.e sleeping in a hammock, sleeping on a boat, sleeping in extreme heat, etc. *
Your answer
If you were cut off from the group how would you handle being in the jungle alone for the night? *
Your answer
Last Name *
Your answer
What does your quiet time with the Lord look like and how often do you get that time? *
Your answer
Do you have any dietary or health conditions that we would need to be aware of while you are in the jungle? (Including any allergies) *
DOB *
MM
/
DD
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YYYY
Do you speak any foreign languages? If so, what are they? *
Your answer
Zip Code *
Your answer
Tell us about the mission trips you have been on, foreign and/or domestic. *
Your answer
What unique gifts, talents, abilities, strengths would you bring to the Amazon mission? *
Your answer
Who is the person who has had the most impact on your life and why do you admire them? *
Your answer
City *
Your answer
Phone Number *
Your answer
Datwe *
MM
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DD
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Have you been baptized? If not, why? *
Your answer
Write a brief recount of your testimony/salvation experience. *
Your answer
Why should we pick you for the Amazon mission? *
Your answer
What church related activities are you currently in? i.e. services, small group, youth/young adult group, bible study, etc. *
Your answer
What do you see as some of your weaknesses? *
Your answer
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