Africa Harvest Of Hope
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Trip Registration
Name
(required)
Address
Home Number
Alternate Number
Email
(valid email required)
Marital Status
Maried
Single
Divorced
Spouse Name
Date of marriage
Dependent Children (name/sex/DOB/grade)
Children (list handicaps/allergies/etc)
Applicants date of birth
Applicant's citizenship
Applicant's social security #
Applicant's immigration status
ABOUT YOUR DESIRED MINISTRY
Kind of ministry in mind
Date when free to begin ministry:
Program interest
career
summer
2-week
Countries/people groups of interest:
How did you hear about Africa Harvest of Hope?
ABOUT YOUR CHURCH
Home church(es): name/address/phone
Pastor's name and contact information:
ABOUT YOUR PREPARATION
Education (school/degree/date)
High School
College
Theol. education (school/degree/date)
Work experience (kind/duration)
Christian ministry (kind/duration)
Special skills/training
Languages besides English (proficiency)
Present occupation
Financial indebtedness (explain)
Allergies/illnesses/handicaps
Overseas/cross-cultural experience
ABOUT YOU AND GOD
Please describe the time and circumstances of your conversion
Tell us a little bit about how God has been leading you to serve in a cross-cultural setting.
Please give us the names and contact information of at least three references
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