Team Project Application

Apply:

Name
First Last
Project Desired
Date
Date Format: MM slash DD slash YYYY
Date of birth
Date Format: MM slash DD slash YYYY
Gender
- Male
- Female
Shirt Size
Home Phone
Work Phone
Cell Phone
Email
If married, give Spouse's Name
First Last
Spouse's Work Phone
Spouse's Cell Phone
Children
First Last Age
First Last Age
First Last Age
Present Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home church
Church address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Pastor's Name
First Last
Pastor's Phone
BIOGRAPHY
Please give a brief summary of your personal, professional, educational, and spiritual life. We will use this information to write your team bio for the website.
Do you have a blog?
- Yes
- No
Blog URL
Are you on FaceBook?
- Yes
- No
Are you on Twitter?
- Yes
- No
Blog URL
Other social media:
HEALTH
Date of last Tetanus Booster
Date Format: MM slash DD slash YYYY
Blood Type
List any allergies (include insect bites/stings, food, medicine, or other substances)
Do you have any health problems or medical conditions? If yes, please explain:
Do you take any medications? If yes, please explain:
Are you committed to total abstinence from tobacco, alcohol, and illegal drugs while participating with THP?
- Yes
- No
LIFE
Have you ever been out of the country?*
List any community service experience:
List any organizations to which you belong (professional, religious, community, etc.):
List any skills or experience that may benefit this project:
Have you ever been convicted of a felony?
- Yes
- No
REFERENCES
Reference 1 - Name
First Last
Reference 1 - Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference 1 - Phone
Reference 1 - Email
Reference 2 - Name
First Last
Reference 2 - Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference 2 - Phone
Reference 2 - Email
Reference 3 - Name
First Last
Reference 3 - Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Reference 3 - Phone
Reference 3 - Email
AGREEMENT
THP is not for everyone. We are looking for team members who are committed to delivering help, hope, and healing to those in need. A team member's THP experience begins at registration and concludes following debriefing upon the team's return to the States.

We provide international health insurance for each team member with the funds raised for the trip, but we cannot guarantee the safety of any individual. We seek to place each participant in a safe environment throughout the life of the project. However, each person participates based on the knowledge that The Hanna Project cannot guarantee safety.

No person is guaranteed acceptance as a team member on the THP team for which he/she applies.

For this application to be complete, we must receive: (1) a recent photo (a .jpg by email is preferred), (2) all references are completed and legible. We reserve the right to remove any member from the program should he/she not comply with The Hanna Project's rules and policies.
I,
, agree to comply with the directives of THP's leadership team, recognizing they desire to both protect me and give me the best experience possible.
Date
Date Format: MM slash DD slash YYYY
Comments
This field is for validation purposes and should be left unchanged.

Team Project Application

BIOGRAPHY

HEALTH

LIFE

REFERENCES

AGREEMENT