TBHC Compassionate Hope Mission Trip Application 
Please complete the following form in order to be considered for the mission trip to Moldova on July 13, 2024- July 21, 2024. 
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Full Legal Name: *
Address:  *
City/State/Zip Code: *
Date of Birth: *
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Age: *
Sex: *
Phone Number: *
Email Address:  *
Marital Status:  *
Spouses Name:  *
Occupation:  *
Company's Name:  *
Employer's Name:  *
Address:  *
Phone Number:  *
In case of an emergency please contact:  *
Relationship to you:  *
Address:  *
Phone Number:  *
Do you have a Passport?  *
Passport Expiration Date:  *
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How would you describe your current physical condition?  *
Are you under a physicians care? If so, please explain.  *
Please list any allergies to medication, food, etc. that we should be aware of.  *
Do you have any major health issues, challenges, operations, etc.? If so, please explain.  *
Please list any medications you are taking.  *
Is your Tetanus vaccine current? (within last 10 years)  *
Please share with us your purpose on why you would like to attend this trip?  *
What experience do you have working with children?  *
Have you ever been on a mission trip before? If so, when, where, and with whom?  *
What church do you currently attend?  *
Are you willing to speak at a training, kids camp, or a church when visiting?  *
Please share any special skills that you have that can be used in kids ministry or social work?  *
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