Yes! I am interested in receiving information about Short-Term Team

Opportunities offered by OFWBI:

To Mexico:  June:   July:   August:

To Philippines:  April:

Mr.   Mrs.   Miss   Rev.   Dr.

Full Name:

Sex:  M  F

Age:

Address:

City:

State:

Zip:

Telephone:

E-mail:

Church:

Online Application

    OFWB INTERNATIONAL, INC.

BOARD OF FOREIGN MISSIONS

CONVENTION OF ORIGINAL FREE WILL BAPTISTS

SHORT-TERM TEAM GENERAL APPLICATION

( Fill in the parts that pertain to you. )

Team Destination: MEXICO        Dates of Trip:

PERSONAL INFORMATION

1.    Name:(As appers on your picture ID or birth cerficate)

    Address:

    City:State:Zip:

    (Name of parents if under 18)

    Phone number: HomeWork

    Date of application:E-mail address:

2.    Employed? If so, where:

3.    Present grade in school:School:

4.    Date of birth:Place of birth:

5.    Marital status:Single  Married

6.    Passport number:

7.    Do you have any medical restrictions or handicaps that we need to make provision for?No  Yes 

    If yes, explain:

8.    Are you presently taking any medication? No  Yes 

    If yes, explain:

9.    Health insurance company:

       Policy number:

10.    Physician's name:Phone number:

11.    Do you understand that you are responsible for raising your own support for this team trip:yes  no

12.    Church Membership:Pastor:

    Address:

    City:State:Zip:

    Phone number: Home: Church:

SKILLS

13.    Please list any skills you have in languages other than English:

14.    Check any of the skills below that apply to you.

    Medical                                                                Construction

    Doctor                                                                Carpentry

    Nurse                                                                 Masonry

    Dentistry                                                             Plumbing

    Nutrition                                                              Electrical

    Other  (name it)          Other  (name it)

    Personal Ministry                                                   Other

    Bible Study Leader                                               Horticulture

    Evangelism                                                           Agriculture

    Singing (soloist)                                                    Arts/crafts

    Musical instrument                                                Food service

    Other  (name it)            Other  (name it)

    Give further explanation of the above items if necessary:

    PERSONAL PROFILE

    T-Shirt Size

    Have you been away from your home and family in the past? yes  no  (for those 18 and under)

    If yes, list the most recent times and how long you were gone.

    a.

    b.

    IN THE BOX BELOW WRITE ONE OR TWO PARAGRAPHS ON EACH OF THE FOLLOWING:

        *A description of your relationship with Jesus Christ.

        *Why you want to be on a Short-Term Team.

        *The realistic roadblocks that might keep you from going on a STT.

        *Any Short-Term Teams you have been on before.