REDLIGHTOutreachApplication
Instructions:Pleasecompletethefollowingapplicationinitsentirety,thenemailcompletedformto:
[email protected],pleasemailyourformtoPOBox3263,Kirkland,WA98083.
APPLICANT:
TRIPDATE:
PersonalInformation
City:
Address:
Gender:
Age:
State:
Zip/PostalCode:
BirthDate:
CellPhone:
PreferredEmail:
Ifemployed,pleasenotenameofemployer:
PassportInformation:YouwillneedaUSpassport,validatleast6-monthsfromdateoftravel.
Nameasitappearsonpassport:
PassportNo:
ExpDate:
IfyoudonothaveavalidUSpassport,pleasevisit:http://www.travel.state.gov/passport/passport_1738.html
FamilyInformation
MaritalStatus:
Spouse’sName(ifapplicable):
Children’sNames/Ages(ifapplicable):
ProfessionalInformation
EmploymentStatus:
Employer’sName(ifapplicable):
Positionandbriefdescriptionofresponsibilities:
Lastupdated:Nov2016
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PlayingwithOthers:Roommates&TeamBuilding
InordertosavecostsandensurethatmoneyisspentwiselyinThailand,volunteerswillbeassignedaroommateto
shareahotelroomforthedurationofhis/herstay.
Areyouokaysharingaroom?
Absolutely
I’dreallyprefermyownroom.Pleaseletmeknowwhattheadditionalcostwillbe.
Iamtravelingwithafriend/partner.Pleasepairmewith:
Ifyouaretravelingalone,pleaseindicateyourpreferencesinconsiderationofroommatepairing:
Doyousnore?
Yes,ithappens.
Nottomyknowledge.
Whichbestdescribesyou:
Messyhotelroomsdrivemenuts!
AmodicumoforderwouldbehelpfulbutI’mnotatotalneat-freak.
Keepthehotelroomtidy?Toomuchwork.
Nightowlormorningperson?
Generally,Iliketogotobedearlyandgetupearly.
Generally,Iliketogooutintheeveningorread/putterbeforebedthensleepinwhenpossible.
Anythinggoes.
Areyouasmoker?
Yes
No
Anydetailsorspecialrequeststoconsiderwhenpairingyouwitharoommate?
Lastupdated:Nov2016
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PersonalMotivation
HowdidyoulearnaboutREDLIGHT?
Website,Facebook,afriend,church,etc.?
WhyREDLIGHT?Whatareyourmotivationsforparticipatinginthistrip?
Whatisyourultimategoalinworkingwiththisdemographicofwomen/whatdoes“success”lookliketoyou?
It’slikelythata“bargirl”(prostitutedwoman)willaskyou“whyareyoudoingthisforme?”Howmightyou
respond?
Areyou/haveyoubeeninvolvedinanyothereffortstopreventhumantraffickingorsexslavery?
Isthereanylegalormoralissuethatcouldimpactyourinvolvementonthistrip?
Yes
No
Ifyes,pleasedescribe.
Whatkindsofservicehaveyouparticipatedin?(ie:volunteerwork,fundraising,ministry,etc.)
Ifapplicable,whatothermissionshaveyouparticipatedin?
Date
Location
Lastupdated:Nov2016
Mission
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PreviousTravelExperience
Whatothercountries(outsideoftheUS/Canada)haveyouvisitedorlivedin?
Pleaseshareanydifficultiesorchallengesyoumayhaveexperienced.
PersonalityOverview
Whatdoyouconsideryourgreatestpersonalstrengthsorattributes?
Whatareafewthingsthatfrustrateyouthemost?
Doyoutendtoworkbestaloneoronateam?
Whichbetterdescribesyou?
Iamcompassionate.Ifeeldeepsympathyandsorrowforanotherwhoisstrickenbymisfortuneandwishto
alleviatehis/hersuffering.IwilldoorsharewhateverIfeelisbesttohelpthemtoabetterplaceintheirlife.
Iamempathetic.Ihaveaninnateabilitytoseetheworldthroughsomeoneelse’seyesandunderstandtheir
feelings,needsorconcerns.IwilldowhatIsensetheyneedinordertohelpalleviatetheirsuffering.
Lastupdated:Nov2016
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Helpusgettoknowyoubetter.
Onascalefrom1to10,tenbeing“extremelyso”,pleaserateyourselfinthefollowingareas.
NotAtAll
1
2
ModeratelySo
3
4
5
6
ExtremelySo
7
8
9
10
Outspoken
Adaptable
Adventurous
Bossy
Observant
Creative
Forgiving
Calculated
Nervous
Outgoing
ThriveWorkinginaTeam
ThriveWorkingAlone
Self-Confident
Shy
Leader
Flexible
Lastupdated:Nov2016
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FaithPreferences
Whichofthefollowingbestdescribesyou?
Ihaveclearreligiousbeliefs
Iamspiritualbutnotreligious
Idonothaveaformedreligiousbeliefsystem
Whydidyouchoosethisdescription?
IfyouselectedAorBabove,whatisyourreligionofchoice?
Doyouconsistentlyattendahouseofworship?Ifyes,listnameandanyrelevanthistory:
Brieflydescribeyourspiritualjourney,howeveryoudefineit.
Haveanyeventsoractivitiesimpactedyouspirituallyoverthepastfewyears?
Doyouhaveanydifficultiesworkingwithpeoplewhohavestrongdoctrinalviewpointsdifferentfromyourown?
Doyoufeelit’syourprimarydutyduringthisoutreachtoteachothersaboutChristorGod,inorderfortheirlives
tobehealed?(i.e.evangelism)
ADDITIONALCOMMENTS:
Lastupdated:Nov2016
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Health/Medical
Althoughwetakegreatcaretoprovideadequatehousingandworkingconditions,thistripcanbestrenuousand
stressful.Itisimportantthatyoucommunicateanymedicallimitationsorpre-existingconditionsweshouldbe
awareof.
Yourjourneywillincludealongflight,theneedtocarryyourownluggage,exposuretohotandhumidconditions,
andwalkingsignificantdistances.Allofthesefactorsmayaggravatecertainhealthconditions.Thailanddoeshave
adequatemedicalsupportsystems;however,it’simportantforustounderstandyourhealthstatusinorderto
betterassistanyneedsthatmaypresentthemselvesduringourtimetogether.
Doyouhaveanyphysicalconditionswhichmaylimityourphysicalabilities?(ie:knee,back,auto-immune,etc.)
Yes
NoIfyes,pleasedescribe
Doyouregularlytakeanyvitalprescriptionmedications?
Yes
NoIfyes,pleasedescribe
Doyouhaveanyspecialdietaryneedsorfoodallergies?
Yes
NoIfyes,pleasedescribe
Arethereanyserioushealthissuesthatshouldbeknownincasecaseofamedicalemergency?
Yes
NoIfyes,pleasedescribe
Whoshouldwecontactincaseofamedicalemergency?
Name
Phone
Email
Doyouhaveanymedicalexpertisethatcouldhelpothersincaseofanemergency?
SUBMIT APPLICATION
SUBMIT
APPLICATION
Or SAVE this form as a NEW document and email it manually to [email protected]
Lastupdated:Nov2016
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