Trans World Radio

Reaching the world for Christ by mass media

Preliminary Questionnaire

First Name: *

Last Name: *

Your E-mail: *

Age : *

Date of Birth: *

Current Address (including street address, city, state or province, zip code and country): *

Permanent Address (including street address, city, state or province, zip code and country):

Home Phone Number:

Mobile Phone Number:

Country of Birth: *

Do you hold a valid passport: *

Yes

If yes, in what country or countries:

What languages do you speak:

Do you hold a valid work permit:

Yes

If yes, in what country or countries:

What length of service are you interested in: *

Long Term (3+ years)

Short Term (6 months to 3 years)

Discovery Trip (anywhere from 2-20 weeks)

Internship (for university credit)

Volunteer (you would be self-supported, i.e. pay your own way)