Medical Ministry International

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Project Application
PROJECT SELECTION (page 1 of 5)

My Login Information
You will need an account to submit your application if you do not have one yet. You can also upload needed documents (e.g., passport) that are required for your project. It is recommended you use your email address as your login. If two applicants share the same email address, please have the second applicant enter firstname.lastname as their login.
Login Name (typically email) *
Login Password *
Retype Password *



Project 1 Country *
Project 1 City
Project 1 Start Date (mm-dd-yyyy) *
Project 1 Duration *
Select:	OR AND
Project 2 Country
Project 2 City
Project 2 Start Date (mm-dd-yyyy)
Project 2 Duration
Are you travelling with a family member, friend, or as part of a group?
.	No Yes
If yes, please provide each of their names or the group name.

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