AMAZON MISSION 2007
PARTICIPANT'S APPLICATION

PERSONAL INFORMATION

First Name Last Name

Birthdate Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec / 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 /

Address

City State State AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Country

Phone E-mail

PASSPORT INFORMATION

Passport number Country

Valid until

Check if you don’t have a passport yet.

MISSION/ OUTREACH EXPERIENCE

List any previous mission experience and time spent

List any previous involvement in church-related activities

CURRENT OCCUPATION

If Student, list grade or area of studies:

Otherwise, list profession / trade:

How are you planning to pay for this trip?

In which of these ministries would you like to be involved during the trip?

Vacation Bible school (VBS)
Door to door witnessing
Lead a drama group
Singing
Building / Remodeling
Providing Medical attention, list specialty:
Preaching
Other (explain):

By signing you agree to the following:

Attend all scheduled meetings
Collaborate in all the fund raising events
Be 100% involved in the activities in Brazil
Follow all the rules of the trip (no personal tours):

• Be with the group at all times
• No alcohol beverages or smoking.
• Only bring books or music that witness about God.

Promote outreach activities in your church.
Turn in a $100 deposit with this application and your projected financial plan by February 18 if you want to qualify for the early bird.

Signature: Date:

Amazon Mission Trips
Bloomington, IN 47401
Last Updated:February 19, 2007
Comments: Webmaster