Name *

First Name

Last Name

Phone *

(###)

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Phone *

(###)

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Do you have a passport? *

Yes

No

I am interested in (check all that apply) *

Children's Ministry

Vacation Bible School/Backyard Bible Clubs

Youth Ministry

Music Ministry

Door to Door Evangelism

Medical Ministry (Licensed/Certified Medical Staff)

Hospital Ministry (Visiting wards and witnessing to patients/families.)

Women's Ministry

Men's Ministry

Education

Construction Projects

Food Distribution/Culinary Skills

Dates Interested in Visiting *

April-May (The beginning of the dry season. It's cool in the mornings [60's] and warm during the day [80's].)

June-August (Winter. July is the coldest month. It can get as low as 36 degrees Fahrenheit. There is no AC or central heat. Bring "hot hands" or a hot water bottles. August is not as cold as July, but it is windy. It begins to worm up during the day.