EmailMeForm
Personal Information
First Name
*
Last Name
*
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Nationality
*
Marital Status
*
Single
Married
If married and/or have children, will they be coming to volunteer as well? If yes, please list their names, age, and gender.
Occupation / Experience
Email
*
Phone
###
-
###
-
####
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Please add a profile Picture
GENERAL INFORMATION
Are you affiliated with a church, organization or specific program? If yes, please specify below.
How did you hear about YWAM Cap-Haiti
*
Estimated Arrival Date
MM
/
DD
/
YYYY
Estimated Departure Date
MM
/
DD
/
YYYY
Please list if you and/or family members (if accompanying you on the trip) have any allergies, medical conditions and/or dietary restrictions
Why do you wish to serve with YWAM Cap-Haiti?
What type of ministry opportunities is your team interested in?
Trainings / Seminars
Youth Camp / Crusade / Concert
Worship Ministry
Dance Ministry
Sports Ministry
Bible Distribution
Street No More Ministry
City Clean Up
Villages Ministry
Dream House Project
Family Business
Build rain catchment tank / water filter distribution
Medical / Mobile Clinics
Churches / Pastors Seminars
Counseling / Staff Counseling / Family Counseling
Maintenance/ Plumbing / Electrical / Construction
Transportation / Mechanics
Hospitality / Housing
Kitchen / Culinary / Nutrition
Marketing / Media / Web design
Photography / Graphic Design / Video Editing
Accounting / Finance
IT / Technical
Please list any experience or expertise in any of the categories listed above.
If you have any questions feel free to contact us at: ywamcaphaiti@gmail.com
*
Privacy
By using this form, you agree to the storage and processing of your data through this site. The data sent will be used only for the purpose of processing your request. In some cases, we may handle so-called “special categories of personal data” about you, which may be considered sensitive. Before we handle sensitive personal data about you, we require your consent to do so. We therefore ask you to use the dedicated contact forms on our website for submitting any sensitive data. The contact forms enable you to give us the consent required under applicable data protection legislation. Such consent may of course be withdrawn at any time. A limited amount of our personnel will have access to your sensitive personal data.