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Online Questionnaire
Please fill out our online questionnaire to be considered for the Screaming Eagles Program at Faith Mission International.

Your  Name

Address


City


State


Zip Code


Birthdate
Month

Day
Year

Home Phone


Work Phone


Cell Phone



In Case of Emergency Contact

Your  Name

Address


City


State


Zip Code


Home Phone


Work Phone


Cell Phone

 
Additional Information to add to the above


 

Church Contact: Contact of any additional References.

Church Name/ Pastor(s)


Address


City


State


Zip Code


Home Phone


Work Phone


Cell Phone



 

Reference #1

Name


Address


City


State


Zip Code


Home Phone


Work Phone


Cell Phone


What relationship does this person have with you –
for how long?


 

Reference #2

Name


Address


City


State


Zip Code


Home Phone


Work Phone


Cell Phone


What relationship does this person have with you –
for how long?


 

Reference #3

Name


Address


City


State


Zip Code


Home Phone


Work Phone


Cell Phone


What relationship does this person have with you –
for how long?
 

 

Please review and answer the following questions as completely as possible.


Tell us about your personal experience with Jesus Christ?  Where is your relationship currently at?  Please be specific.


Why are you interested in the Eaglette Program?  What are your expectations in coming and being a part of this program at Faith Mission International?

Do you have any physical limitations, allergies, or other related medical issues we need to be aware of?

How long are you prepared to commit to at Faith Mission
(May, June, July, or 2 of the months, or all three?)

What concerns do you have about being a part of this program?

If you are a minor, what is the longest time you have been away from home?  Describe the situation.  How did you
handle it?

Do you have a valid drivers license, and insurance?  Do you plan on driving your vehicle back and forth to Mexico?

If you do not have your own vehicle, how do you plan to arrive at Faith Mission, and then return when you have completed your program?

Do you have any computer skills?  If yes, describe them.

Describe any areas of “ministry” you have been involved in.


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Dates:
June 1 - August 31, 2005

Registration Deadline:
May 1, 2005


Online Forms
Please read all of the basic requirements before filling out the online Questionnaire.

Basic Requirements
Questionnaire

If you would prefer to download the form and fax it to our office you can click on the download link below.
Questionnaire Download


Forms to Download
Complete all forms below and fax them to our offices.  The forms must be received prior to your arrival.

Medical Release
Release Form 

 

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