CONTACT US

APPLICATION

Name
Address
City
State
Zip
Home Phone
Cell Phone
Work Phone
Email
Birthday
Church you attend
Do you have a valid passport?

Why do you want to
serve with us?
What is your occupation
Have you ever been on an
overseas medical mission before?

If yes, location and date of trip.
What are your goals of service?
How did you hear about
The Hands of Christ, Inc.?

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