Good Shepherd Community Church

2010 Short Term Teams Application Request Confirmation

Name:

Phone (home):

* Home Cell Work

Email:

Address:	*
City:	*	State:	*	Zip:	*

Age:

Birthday:

male female*

single married*

high school

Year:

college

How long have you been attending Good Shepherd Community Church? *

Which ministries have you been involved with at Good Shepherd Community Church?*

Are you planning on taking your children? Yes No*
If so, what are their ages: (please list below)

Team Preferences: (please rank in order of preference from First through Third choice)*

	Serbia		Mexico
	Slovenia		Mediterranean (Transform 2010 with OM)
	Marseille		Oregon - Servant Leadership