Please fill in this form online and then just before you hit the 'Submit' button - print a copy of the filled out form for your records. Then click the Submit button at the bottom to send it to us immediately. Once you have printed it and submitted it - sign the printed form and fax or mail it to our contact address on the Contact us page.
Your Name: Telephone:
Address: Cell Phone:
City: State/Prov: Country: ZIP:
Your Email Address:
Send me Email Updates on the Orphanage Project: Yes_send_email No
Date of your Mission Trip from to
What hours can you work each day? Start Lunch to Quit
How do you plan to travel to and from the orphanage project? … and stay?
Bus plane drive car/van live in dorm bring RV Other
Your age: under_20 20-30 30-50 50-70 over_70
Do you have previous construction experience? yes_construction no_construction
If so Tell us about your past experience:
Tell us if there are some types of work you want to do or would prefer not to do:
Do you have any physical limitations or disabilities? Disable_yes No
If so:
In case of emergency contact: phone
relationship email address
I have read the Guidelines for Volunteer Workers and the Welcome Letter and look forward to being of service.
