FOR “Host Receiver/Missionary” IN “Location”
This form can be used to provide information on each of the team members for your host receiver.
Name______Team ______
Address______State ______Zip Code______
Age______E-mail Address ______
Emergency Contact ______
Relationship ______
Phone(s) Home:______Cell: ______
Work: ______
Health & Endurance: Excellent_____ Good _____ Fair _____ Poor _____
Physical or medical needs that might limit effectiveness as a team member______
______
Present Occupation:______
Other work experience:______
Special training, trade, skill or license:______
Skills or talents that could be helpful:
Media / Arts / Practical Skills / Activities / Music & Drama / Medical / Teaching Skills / Foreign LanguageSound tech
Journalism
Photography
Video
Sketching /Painting
Computer / Painting
Carpentry
Electrical
Plumbing
Automotive repair
Cooking
Landscaping / Evangelism
Small group studies
Crafts
VBS
Sports
Group games
Team Building / Singing
Clowning
Skits/mime
Puppets
Drama
Instrument: / Nurse/doctor
Area of specialty:
Med tech
Area of specialty: / Public speaking
Bible
Theology
Children
Adults
Topics: / Languages:
Speak
Read
Write