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2019-2020 Application

To join the next SEND Team, please fill out the SEND North America application below.

If you are undecided, just fill out this contact form and our team will connect with you.

We will be accepting applications till July 15, 2019

If you are a human and are seeing this field, please leave it blank.

Fields marked with an * are required

First Name *

Last Name *

Email *

Birthdate

Day

Year *

Home Address

Street Address Line 1

Street Address Line 2

City

State/Province

Postal / Zip Code

Country

Home Phone Number

Cell Phone Number

School Address (if applicable)

School Name

Street Address Line 1

Street Address Line 2

City

State/Province

Zip/Postal Code

Country

School Phone Number

Church Address

Church Name

Street Address Line 1

Street Address Line 2

City

State/Province

Zip / Postal Code

Country

Pastor's Full Name

Pastor's Phone Number

Pastor's Email

Please state any health considerations that might require special attention during mission opportunities:

If yes, give details:

Ministry Involvement

In what have you been involved? How long? Starting when?

What led you to apply to SEND North America?

Who did God use to influence you to apply?

Please describe, briefly, how and when you became a Christian:

Your expectations about SEND:

What do you hope to receive from SEND?

What areas of ministry do you want to explore during your SEND training?

What do you think you would like to accomplish after the SEND training?

References

Church (Church Leader Reference)

Name

Position

Street Address

City

State/Province

Zip/Postal Code

Country

Phone

Cell

Employment (supervisor, manager)

Name

Position

Street Address

City

State/Province

Zip/Postal Code

Country

Phone

Cell

School

Fill: School Name - Location - Dates Attended

High/Secondary School

University

Additional University

Bible Institute (or other)

Degrees Earned

WORK

Fill: Company - Dates - Responsibilities - Reason for Leaving

Company #1

Company #2

Hobbies

Explain

By submitting this form, you confirm that the information you have given on this form is accurate.

DAYS LEFT TO APPLY FOR 2019-2020

Day(s)

Hour(s)

Minute(s)

Second(s)

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GET IN TOUCH

PO Box 145
1230 US Highway Six
Corunna, IN USA 46730

sarahkolb@churchdoctor.org
1.800.626.8515

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A ministry initiative of Church Doctor Ministries