Trip Application

Personal Information

I would like to attend the:


Full Name as is appears (or will appear) on your Passport: 

Address:  


Date of Birth: 

E-mail: 
*Note: The Boaz Project will Email extensively as a means of communicating with you.

Home Telephone:

website: 

Marital status:

Do you Smoke:

Employment Information
Employer: 

Work Telephone:

Special medical needs
List any special dietary or medical concerns

Emergency Contact Information
Name

Relationship to you

Home Phone

Work:


References  *Note: Please Do Not Use Family Members
Name Reference One

Relationship to you

Home Phone

Work Phone:

Name Reference Two

Relationship to you

Home Phone

Work Phone:

General Questions
Why would you like to teach VBS in a Russian orphanage?

Do you have overseas experience?

If so, please describe:


Please describe your personal relationship with Jesus Christ: 

How does one obtain salvation?


How do you view the Bible?

Church Information
Home Church:

Phone:

Church Address:
City: State: ZIP:

Pastors Name: How long have you been a member?:

Relevant Ministry Experience
Have you had experience in the following? (It is important that you are realistic)

Speaking in Church
Teaching Sunday School

Leading/Teaching Children's Bible School

Music

Drama/Skits/Puppets/Clowns

Electrical

Masonry

Construction

Shirt Size Information

Passport Question
Do you have a passport valid through December 2008?

Waiver
I understand that travel in a foreign country may include risks beyond the control of The Boaz Project, Inc.  While I expect leadership of The Boaz Project to use wise judgment, I will not hold it responsible for unexpected events, including lost or stolen passports, visas, or personal items.  

Funds raised above the support requirements will be used at the discretion of The Boaz Project, Inc.

By signing below, I indicate that I have read, understand, and agree to the terms above.  I also claim that all information I have provided on this application is true to the best of my knowledge.