Name *
Name
Full name as it appears on passport.
Mailing address including city, state, and zip code.
Phone *
Phone
Birthdate
Birthdate
Do you have a valid passport? *
The passport must be valid at least 6 months past the trip dates.
Enter "N/A" if not applicable.
Enter "N/A if not applicable.
Enter "N/A" if not applicable
MEDICAL INFORMATION
It is highly recommended that each prospective team member visits their family doctor or travel clinic for recommended health precautions and immunizations required for travel to Ghana.
PERSONAL AND SPIRITUAL BACKGROUND
Estimated time in years and/or months.
Have you ever been on a mission trip outside of the United States before? *
Do you attend church on a weekly basis? *
By typing your name here you are stating the information provided on this form is true and correct.