ACCMBC Work Team Application Form

ACCMBC Work Team Application Form
1. Applicant Name*

First NameLast Name
2. Date of Birth*

MonthDayYear
Date
3. Phone Number*
Format: (000) 000-0000.
4. E-mail*
example@example.com
5. Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
6. Home Church*
7. Please list your skills*
No, English OnlyYes, Other Languages
9. If you speak, read or write in any language(s) other than English, please list below.
10. Please list your allergies if any
11. Do you have any medical condition(s) that the ACCMBC should be aware of? Enter N/A if there are none.*
YesNo
YesNo
YesNo
YesNo
I agree to work towards the goals of the team to the best of my ability. I will give my full cooperation to all co-workers and follow the guidelines and direction of the team leader, the ACCMBC and the local missionary base being served. I also understand that the purchase and use of alcohol is forbidden. Romantic relationships with locals or fellow members are also prohibited. Payment or donations to cover trip costs are due prior to the trip and is non-refundable
15. Signature*

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