USA and Canada Application | Global Ventures

Please list the trip(s) you would like to join us on: *
Cambodia Thailand Asia Combo (Cambodia and Thailand) Peru Nepal
Today's Date *(Ex. 05/25/2011)
How were you introduced to Global Ventures/John and Martine? *
I was recruited by: (Person's name)
Have you been on a Global Ventures Trip before? *
Previous Trip Country (choose most current) *
Previous Trip Year (choose most current) *
Please list the top 3 Major Cities you could fly out of: *
Preference 2
Preference 3
Your Home Church Pastor recommends you going on this trip? *

Gender *
First Name *
Last Name *
Middle Name
NAME EXACTLY AS IT APPEARS ON PASSPORT. *
Nickname/ Name you are known by.
Date of Birth *(Ex. 05/25/1980)
Citizen of which Country: *
Height *
Weight (in pounds) *
Marital Status (choose one) *
Date you made a commitment to follow Jesus *(If you do not know the exact day, just give a rough estimate of when you accepted Jesus.) [Ex. 05/25/1980]
Name of spouse:
Tee-Shirt size (choose one) *

Your Email Address *
Current Home Address *
Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone *
Cell Phone
Best way to reach you (choose one) *
Best time to reach you (choose one) *
I will receive mail at a different address prior to the mission trip. *
No Yes
Date I will be at this new address
New Address
Please explain briefly the reason you desire to go on this mission trip in the section provided below. *
Photo Upload (passport style photo) *(Attach a recent head-shot of yourself here. (Must have been taken within the last 3 months)

IMPORTANT! Your application WILL NOT be processed unless you pay the application fee on the next page.