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General Information
To Which ACTION Office are applying?  ACTION USA
 ACTION Canada
 ACTION UK & Europe
Name (Last, First, Middle): ,
Email:
Telephone:
Age (optional):
Marital Status (optional):
Mailing Address:
City:
State or Province:
Postal Code:
Country:
How did you find out about ACTION?


Experience
List any relevant training you have:
Briefly describe your previous and current involvement in missions:

Future Service
Please tell us briefly about yourself and your motivation for pursuing mission opportunities:
In what country or region do you envision yourself serving?
Are you physically able to work in the types of conditions prevalent in the developing world?
ACTION ministry which interests you:
Are you interested in Short Term Ministry (2 weeks - 2 years)? Yes No Unsure
If "yes", for what length of time would you like to serve?
When would you be available to serve?
Are you interested in Long Term Ministry (over 2 years)? Yes No Unsure
List any current obstacles to your personal involvement in missions:
Are you willing to raise your own support? Yes No

Compatibility:
Please read ACTION's brief doctrinal statement as posted in the About Us section of our website, and describe why you believe your views are compatible with ACTION's:


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