| The SEND Movement

Email *

Gender *

Marital Status *

Street Address Line 1

Street Address Line 2

Country

Home Phone Number

Cell Phone Number

School Name

Street Address Line 1

Street Address Line 2

Country

School Phone Number

Church Name

Street Address Line 1

Street Address Line 2

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:

Have you ever been convicted of a criminal offense or have any pending convictions?

If yes, give details:

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:

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?

Street Address

Country

Street Address

Country

High/Secondary School

University

Additional University

Bible Institute (or other)

Degrees Earned

Company #1

Company #2

Hobbies

Have you ever been in a spiritual accountability relationship:

Explain

Have you ever been in a mentoring relationship?

Explain

Will you have a car during SEND?

T-Shirt Size

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XL
XXL

Sweatshirt Size

S
M
L
XL
XXL

Birthdate

Home Address

School Address (if applicable)

Church Address

Ministry Involvement

Your expectations about SEND:

References

School

WORK

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