OnEARTH Application

... a missional discipleship experience

home

about

apply

dates

links

Full Name:
Email Address:
Current Address
Mobile or Home
Date of Birth
Emergency Contact
Marital Status	Married Single
Passport Details - Number/Nationality (if applicable)
Do you have any medical conditions that should be considered? (briefly explain)
Are you taking any prescription medicines?	Yes No
What OnEARTH experience are you applying?	May Start (Thaland Trip) August Start (Kimberley Trip)
Why do you want to take part in this OnEARTH?
Are you a follower of Christ?	Yes No I'm not sure
Attach paragraph or two describing your faith journey.
What gifts and abilities do you have?
What do you believe that you would like to contribute to the OnEARTH Team?
In making this application, I understand that acceptance on to this OnEARTH MDE is at the complete discretion of Churches of Christ in WA OnEARTH leadership. I also understand that upon acceptance, that the terms include the full payment of the advertised cost by the required date. I understand I am responsible for travel insurance, injections, visas, passports and the care of my personal possessions whist traveling.	I agree I disagree

create web form