ALMS
"Live simple so that others may simply live" ... Missionary James
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Please Choose Our-Trip-Dates on your Right (pt/et-optional)











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    Your Phone Number. If you have no Land-Line Number, the enter: 000-000-0000
    Please Enter the Full Name and your Relationship to your Emergency Contact.
    Your Cell Phone Number. If you have no Cell Phone Number, then please enter: 000-000-0000
    Your Street Address of actual Residence. Use Line 2 for Apartment, Suite, Floor or Box Numbers





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    Month-Day-Year





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    If you are not in High-school as of yet, please enter: N/A
    If you are not currently enrolled in High-school, please enter: N/A
    If you are not currently enrolled in High-School, please enter: N/A
    If you've never attended any College, please enter: (N/A) If you attended more than 1-College, please list other College separately in #2 below.
    If you went to more than 2-Colleges, please list here, the College most important to your overall education
    List anything you earned, achieved, was acknowledged for, from any College. If you earned such from various Colleges or Universities, list College it was achieved from. Example: Award - Rutgers Degree - Princeton





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    If you are Self-Employed, enter Your Company Name here. If not Employed, enter: N/A
    If Self-Employed, enter Your Company Number here. If not Employed, enter all zeros: 000-000-0000
    Type of Job. For example: (Lawyer, Doctor, Nurse, Technician, Accountant, Computer Graphics, Social Services, Management, CEO Laborer, Florist, Self Employed, House-Wife)
    Skills/Training that may be useful on our Missions Trip. If you have None, enter: N/A
    If you have no Hobbies or Interests, please enter N/A





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    Click All that Apply. You may be a Secretary and a Sunday School Teacher. You may be a Member, a Deacon and a something Other!
    Click All that Apply. You may be a Secretary and a Sunday School Teacher. You may be a Member, a Deacon and a something Other!
    Click All that Apply. You may be a Secretary and a Sunday School Teacher. You may be a Member, a Deacon and a something Other!
    Perhaps you were/are an Evangelist, an Accountant, a Missions Director, etc. If you had no other position, enter N/A
    Share your Testimony of When and How you became saved. Be descriptive, but as brief as is possible!





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    Are you Hard of Hearing, Deaf, Partially Blind, Missing a Limb, Paralyzed and etc??
    For Example: Autism, OCD, Bi-Polar, Schizophrenia, etc. If you never been Diagnosed with a Mental Disorder, then please enter: N/A
    If you are not taking any Medications, enter: N/A
    If you are not Allergic to any Foods or Medication, please enter: N/A





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    We desire to know, that we may accommodate your Haiti-Trip meals accordingly
    Please list the foods or drinks you will not eat under any circumstances, Example: Sea-food, Mayonnaise, Soda
    If you're not a Vegetarian, please enter: (N/A) If you are, we need to know what Foods you will not eat and Type of Vegetarian you are. Example: Vegan, Pescatarian Raw Vegan, Macrobiotic, etc.
    If you do not Smoke or Chew, please enter: N/A
    If you have never been to a Drug/Alcohol Facility, then please enter N/A
    If YES, please give Name, Contact Number and/or Email Address of Sponsor or Host. If you have never been to an AA, NA or a SAA Meeting, then please enter N/A.





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You do not have to Upload Required Forms with your Trip Application. You may send Required Forms by Snail Mail and/or Email at a later date. Either way they must be sent
ALMS
63 Emerald Street
Keene, NH 03431-3626
[email protected]
(848) 391-3853
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