PERSONAL

Email

Spouse's Email (if different)

Previous Training

If you have had any college or university education, specialized training, or additional missions preparation, please list it below

Previous Experience

List any cross-cultural experiences you've had (location and length of stay)

Special Needs

Any special needs we should be aware of? (physical limitations, allergies, etc.)

CHILDREN

Child 1

Age

Child 2

Age

Child 3

Age

Child 4

Age

Additional Children

Please list below their names, gender, ages, and birth dates

Health Concerns for Children

Any special needs of your children that we should be aware of? (physical limitations, allergies, etc.)

SERVICE

Country you will serve

Hopeful departure date

Expectations

Please share your reasons for taking part in this pre-field training, and what you hope to gain from this training

ORGANIZATIONS

Home or Sending Church

Please include city and state

Organization or Agency Affiliation

Email of your agency contact

e.g., supervisor or field coordinator

Agency Financial Contact

If your agency is paying, please provide the email where we should send the invoice

Orient Pre-Field Training Registration