Full Name as on your Passport
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Preferred Name
Phone
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WhatsApp
Email
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Facebook Name
Date of Birth
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Address
Street Address
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City
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State
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Postal Code
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Passport Number
Passport Expiration Date
Emergency Contact Name, relationship and phone #
Insurance Company, Policy # and phone number
Health Conditions and Prescriptions taking
How long have you been a Christian?
Spirit Filled
Yes
No
In Ministry
Yes
No
Ministry Experience, Giftings & Abilities
Why do you want to go on this trip
What would you like to DO on this trip?
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What do you expect to RECEIVE from God on this trip?
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Can you Physically & Joyfully endure unusual: Walking? Heat? Diets? People? Hours?
Yes
No
Go Harvesting makes things very safe and comfortable for first time missionaries, but we are going into battle to destroy the devil’s work, set captives free and establish the Kingdom of God. I acknowledge that I am going on my own free will to help, serve and love people and I release Go Harvesting and the leaders of any and all liability including loss of items, injury or death. I am responsible for my actions, belongings and safety.
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Yes
Signature
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Clear
Today's Date
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Submit