HCJB Global :: Ministering through Radio and Healthcare - Online Application

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Online Application - PARTICIPANT

HCJB Global
Global Short Term Team Application-
PARTICIPANT

Important: Before completing this application, you MUST read carefully and AGREE with the following important points:

* NOTE: Once you submit this application and it has been accepted, you will be asked to submit The Code of Conduct and Liability Release form along with other forms at a later date.

Name (as appears on passport if you have one)

Complete Mailing Address

Email Address

Telephone (home, work, cell)

Home church

Occupation (if retired, please give former occupation)

Gender
Male Female

Date of Birth

US Citizen?
Yes No

Marital Status

If Married, Spouse's Name

Will spouse be travelling with you?
Yes No
If yes, spouse must complete a separate application

Passport #

Passport Expiration Date

With what mission(s) have you participated with, when, where, type of ministry?

Under Current Projects, is there a specific project that you want to work on, and if so, which one? If not, what do you have in mind?

When would you be able to participate with us?
First Choice of Dates
Second Choice of Dates

Are you currently involved in the support of HCJB World Radio or any of our missionaries?

Yes No

If so, please explain

How did you come to have a relationship with God through Jesus Christ (brief testimony)

Describe your current walk with the Lord

How will you prepare yourself spiritually for this trip?

Why do you want to participate in this trip?

How did you hear about this Short-Term opportunity?

Contact the Global Short-Term Team:
HCJB World Radio
1065 Garden of the Gods Rd.
Colorado Springs, CO 80907
Phone: (719)590-9800 x2291
Fax: (719)590-9801

Andy Braio
Global Short-Term Teams Director
Email:

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