First Name *
Last Name *
Spouse's Full Name
Address 1 *
Address 2 *
City *
State *
Zip *
Home Phone *
Work Phone
Cell Phone
Best way to contact you?
Email *
Are you at least 18 years of age? Yes No*
How did you find out about World Harvest Mission?
What kind of ministry interests you most? *
How long do you want to GO? Prayer Conference (1-2 weeks) Internship (2 months) Apprenticeship (8 months - 2 yrs) Long Term (2 yrs or more) I don't know yet, I'd like to know more about the options.
Is there a specific region you desire to work in?
If you could do anything for the Kingdom what would it be?
Briefly describe how you became a Christian.
What specific ministries have you been involved in? What were your responsibilities?
What Church do you attend? *
Church Address
Church State *
* field is required
