MDP Registration

Ministry Development Program
MDP 2008 Trainee Registration Form

Your place at MDP will be reserved upon receipt of the mailed registration form or on-line registration form.

On-line registration must be sent by midnight January 31, 2008.
By sending in the on-line registration form, you are authorizing the IMCO administration to invoice your mission for the $100.00 registration fee.

Any registration postmarked after January 31, 2008 will be reviewed by the MDP administrative team for acceptance. This will entail an additional fee.

Section A required
Name
Date of Birth
Mailing Address
City
State / Prov	Zip / Postal code
Country
Mission Organization
Telephone
Cell Phone
Your primary language
Citizenship
Email Address(s)

*Section B* complete if married
Spouse Name
Date of Birth
Spouse's primary language
Citizenship
Date of Anniversary

Section C complete for each non-adult child	Child's Name	Date of Birth	School Grade	Type of Schooling
1
2
3
4
5
6
7

If you are expecting a child, give estimated delivery date:

Do you anticipate a change in your family's schooling situation in the near future,
or have you recently gone through a change? Yes No

If yes, please explain:

Would you like the MK Ministry Coordinators to help you communicate with the
school(s) about obtaining school work to finish up the school year? Yes No

Ministry Information:

      What stage of ministry are you currently in :
      Raising support     Moving to    Changing fields
      Field assigned
      When will/did you move to the field?
      What is your assigned field of service?
      What is your ministry assignment? (i.e. direct church planting, aviation, camping, etc.)

      When were you accepted with your mission agency?
___What do you anticipate to be the most challenging cultural differences you will face?
___
___Are you or do you anticipate learning a new language for your ministry?
___Yes No If yes, what language will you be learning?
___What are the top three areas where you feel the most need for cross-cultural preparation?
___ 1
___2
___3
___How do you expect MDP to be of help in preparing you for cross-cultural ministry?
___
___In what other areas would you like the MDP training experience to be of encouragement and preparation for you and your family?
_____(i.e. personal holiness, family, loneliness, spiritual warfare, etc.)
___

List any special abilities you and your family have:

Ability:	Name:	Name:	Name:	Name:
Sports
Musical Instruments
Singing
Drama
Other

Please indicate your choice of participation: (see Week 6 Options brochure)

Wilderness Trails Participants:
Urban Impact Participants:

     List any special needs, physical handicap, or health problems that will impact
       you or your family's participation in MDP activities:

Your MDP arrival plans:

Plan to arrive on Saturday, April 26, 2008 in the afternoon. If you anticipate any
problems with this arrival time, please contact MDP leadership.

How do you plan to travel?

Best way to contact you between now and April 26, 2008 (please note address if different from above)

List Colleges, Universities, or technical schools attended:

Emergency Contact Information:

Name
Address
City
State / Prov	Zip / Postal code
Country
Telephone

For non-Canadians only:

Please note the name of your health insurance provider:

List the full legal name of each family member for Canada Customs and Immigration:

    We give our permission to use photographs taken of us while at
       MDP for future MDP publications. Yes No

Click the Submit Form button to send your application form to MDP now.

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