Study Tour Application

EACH PARTICIPANT MUST FILL OUT THIS APPLICATION FORM.
Study Trip Option #1: (Please select the trip and date you would most like to go on)*
Study Trip Option #2: (Please select your second choice)*
Name*

First Name Last Name
Please select ALL statements that describe you.*

not between the ages of 16 and 65significantly overweightsignificant health or pain problemsnot able to walk/run 1 mile within 13 minutesnot able to walk/run 3 miles within 46 minutesnot able to ascend 20 flights of stairs (240 steps) without stoppingnot able to descend 20 flights of stairs (240 steps) without significant joint painnone of the above

Based on your input on the previous page, it appears that you are not well suited for this study trip. If you would like to continue, please select 'Yes' below and provide a detailed explanation of how you would still be a good fit for this study trip. Would you like to continue?*

NoYes
Please explain how you would still be a good fit for this study trip despite the input provided on the previous page.*

Is anyone traveling with you?*

YesNo
Please list the names of all your travel companions.*
Are you in a ministry/non-profit role?*

YesNo
What is your church/organization, and position?*
How did you hear about this study trip?*
Please submit a 90-second video explaining more about yourself and why you want to go on this trip. (If you are coming as part of a family or group, you may all submit the same video together.)*
Please provide your Dropbox or Google Drive Link to your video here
Do you currently have any health issues that would be a hindrance on this study trip?*

NoYes
Please describe the health issues*
Have you participated in a study trip or similar trip in the past?*

NoYes
Please include the following information about your trip: Organization, trip leader, location and date of travel*
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