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1. Describe your relations with God through Jesus Christ:

 

2. Explain why you would like to participate in this trip:

 

3. List any previous travel experiences:

 

4. Describe any skills and abilities that you are willing to use on this
    trip:

 

5. List any health or other limitations which might affect your
    participation on the trip:

 

6. List two non family personal references (and contact info):

 

 

__ I am willing to accept the personal risks involved in international
    travel.

 

Signature: ___________________________________ Date: ________

 

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