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Privacy Policy: Jody Kennedy International does not share any information about our constituents, team members, supporters, or partners with any other party, corporation, non-profit organization or entity.

First Time Team Member Registration

*Last name

*Date of Birth mm/dd/yyyy

*Day Telephone Number

*Gender

Mailing address is the same as the Physical Address.

*Primary Email Address

*Mission dates and location of interest

*First Name

*Middle name

*Mobile Telephone Number

Full Name on the Passport

Place of birth

My beneficiary is the same as my emergency contact.  contact.ork/Day Telephone Number

Other FF Program Name

Mission Project Information Personal Information

*Suffix

*Name you commonly use

*Marital status:

Spouse’s name

Contact Information

Number and street

Mailing Address

Address line 2

City

State and ZIP Code

*Primary Telephone Number

*Work/Day Telephone Number

*Alternate Email Address

Passport Information (required for international travel)

*Passport Status

Issued Date mm/dd/yyyy

Expiration Date mm/dd/yyyy

Number

Type

Issuing Agency

Emergency Contact  and Beneficiary Information

*Mobile Telephone Number

*Emergency Contact

*Relationship

*Email Address

Relationship

Day Telephone Number

Mobile Telephone Number

If no beneficiary is entered, we will use the Emergency Contact as your beneficiary.

Beneficiary Name

Email Address

Medical Information

Diet Restrictions

Medical Conditions (i.e. diabetic, bad knees, etc.)

Church Information

Pastor or church email address

Your Pastor’s name

Name of your church

Experience Information

ESL/EFL experience

Musical instruments you play

Read music

Languages Spoken

Other Program Number

*T-shirt size (in a mans’ size)

Travel Preference Information

Preferred Airport

Seating preference

American Aadvantage Number

United Mileage Plus Number

Delta Sky Miles Number

Family traveling with you

Acknowledgement and Form Submission Read the Covenant and Liability Release - click here.  I confirm that I have read and agree to the Personal Covenant and Liability Release.

Where (how) did you first make contact with Jody Kennedy International?

Church Telephone

2nd Choice -
Mission dates and location of interest

Citizenship

Occupation

Lead music

Work with children

Work with puppets

Preach

Bible Teaching

Lead devotion

Administration

Audio/Video

Computer

Play instrument

Driving

Food prep

Church City & State

My current name does not match my ID (passport, DL, etc.).

NOTE: For international travel DHS/TSA regulations require that the name on your airline ticket is EXACTLY as it appears on your passport.

Opportunities for Specific Service

Emergency Contact should be someone who is not traveling with you.

Note: Only “open” mission dates are listed.

*First name

*Home Telephone Number

Home Telephone Number

(* indicates a required field)