USA Project Video Ambassador Application
* indicates all required fields
* Updated February 2024
Please read through the Ambassador Information Pack before submitting this application.

If you have any questions, please email ambassador@project-video.org
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Email *
Name (as it appears on your passport) *
Date of Birth *
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DD
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Marital Status *
Name of Spouse
Name(s) of Children
Nationality *
Language(s) Spoken *
Current Home Address *
Home Phone
Cell Phone
E-mail Address *
Current/ Most Recent Occupation (If student, indicate school and year) *
Hobbies *
Home Church Information
Name of Home Church *
Pastor's Name *
Church Address
Email Address *
Office Phone *
Has this church supported PV before? *
If so, which project(s)?
Project & Trip Information
If you are unsure, please put N/A.
Project Name, leave blank if unsure. *
Will you be extending this trip for personal reasons? *
If extending, where are you going?
Trip Date *
MM
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DD
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Trip Leader
Passport Check (Please send photocopy via email to ambassador@project-video.org )
**IMPORTANT NOTE: U.S. PASSPORTS MUST BE VALID FOR SIX MONTHS AFTER THE FINAL TRIP DATE.
(If yours expires before the 6­ month mark, apply for a 10­ year passport renewal as soon as possible.) 

Passport Cards are not accepted while traveling in Asia, please be sure to have an up-to-date Passport Book
Passport # *
Expiration Date *
MM
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DD
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YYYY
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