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Preliminary Information Form

First Name

Last Name

Date of Birth

Gender

M F

Citizenship

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Email

Skype

Relationship Status

Single Married

Spouse's First & Last Name (If Applicable)

Spouse's Email (If Applicable)

Spouse's Phone (If Applicable)

Church Name

Church City

Pastor Name

Years Attended

Current Place of Employment

Position

Name of College

Years Attended

Degree Earned

How did you find out about International Project?

Describe your ministry interest with International Project.

Which opportunities are you interested in? (Check all that apply)

Visitors Weekend Seed Weeks Summer Internship (2 months) Equip (10-month training) Long Term Missions (2+ years) Operations Team Bi-Vocational Ministry Volunteer Service Rome Winter Service Trip

Describe any previous cross-cultural experience you have had?

Length of service you are considering with International Project (Check one)

Short-term (1 week-3 months) Mid-term (1 year) Long-term (2+ years)

Have you applied to or been part of another missions organization?

If so, which organization?

How long did you serve with this organization?

Are you still serving with this organization?

Do you have any additional questions or comments?

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