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Updated March 18, 2011 : Thank you for taking an interest & deciding to apply to Jordan International Aid! The opportunity to travel and help people in need is extremely rewarding. This organization gives many the chance to be apart of a project that is truly in ACTION. As you might have seen from the JIA site, we are on the move and need team members to go with us.

Jordan International Aid will be in Japan this week , in a joint effort with the National University of Singapore Entrepreneurship Centre and a multidisciplinary team of skilled social entrepreneurs, nutritionists, health professionals and disaster veterans to assist in the recovery.

Support us @ http://www.give.sg/TeamGIVE/Relief/Japan - or - http://causes.com/jia

You can visit us on Facebook at : http://causes.com/jia , http://www.give.sg/TeamGIVE/Relief/Japan or our website at http://www.jordaninternationalaid.org .Our facebook site contains images and videos of our humanitarian effort. Jordan International Aid has been confirmed on Facebook as a registered Non-Profit organization and has allowed a donation link on a site. Facebook uses a secure third-party organization called Network for Good, which processes donations made through Causes and distributes them to your chosen charity.

You are joining a team of several hundred members who have made a difference. Follow us on Facebook to see images from our current projects and look out for details on upcoming trips.

Currently there are no tentative dates for a team trip to Japan . A trip to Haiti was scheduled for summer of 2011, but efforts may be redirected to Japan as a emergency relief effort. Stay tuned.

You can view updates from our websites:
http://www.facebook.com/JordanInternationalAid
http://www.facebook.com/jia
http://www.jordaninternationalaid.org
http://causes.com/jia
http://www.give.sg/TeamGIVE/Relief/Japan

Please complete the application entirely. (Allow 10 minutes to complete). There is no ability to save and return to the application. Please complete to the best of your ability.

Project Destination of Interest (Current Projects in dropdown)*

First Name:*

Last Name*

E-mail:*

Home Phone:*

Cell Phone

Age

Preferred Method of Contact*

Medical Profession (if applicable)

Citizen of what Country

Gender*

I have a valid passport

Yes No

Date of Birth

- Month - Day Year

How did you hear about us?*

Date of Birth (MM/YY)

Marital Status

Mailing Address:

City:

State:

Zip code:

SELECT JIA PROGRAM

Xport Xtreme
This program is designed to launchworldwide missionary efforts for youth. Joining this program meanshaving the opportunity to travel to foreign countries and providedirect aid. Of course this will mean a stronger commitment andinvestment, but one that will reap huge rewards.

serveNET
This program is designed for those who can volunteer time and resources locally. For example: packaging supplies, recruiting sponsors, assisting in fundraisers.

Plan-IT
PlanIT (planet) is a program designed to launch worldwide campaigns and efforts. Joining this program means having the opportunity to travel to foreign countries and provide direct aid. Of course this will mean a stronger commitment and investment, but one that will reap huge rewards.

eMile
This program is centered on giving churches the opportunity to ship food, supplies, clothes and Bibles to foreign efforts.

serveNET (Church version)
This program is designed for those who can volunteer time and resources locally. For example: packaging supplies, recruiting sponsors, assisting in fundraisers.

JIA Program you are interested in:*

Medical Team (Professionals only) Xport Xtreme (Non-Medical Team)

Do you serve in any volunteer/leadership role in any nonprofit, ministry or outside of your profession or school?

Please provide an Emergency Contact : (Phone, Email, City, Relationship)

Have you ever served on a mission trip, humanitarian aid, medical relief or had any cross-cultural experience?

Yes No

If yes, where and when? Please explain briefly why you want to participate in this project

Please list any specific skills you provide while on the project (medical concentrations, etc)

Where are you employed?

What position & how long?

Do you speak any foreign languages fluently? If yes, list them.

Do you have any condition which might affect your ability to fully function on this trip (i.e., fear of flying, depression, anxiety, sleeping disorders)?

Are you presently under medication prescribed by a doctor?

Do you currently have Health Insurance

What are your personal expectations for this trip?

If you are applying for a trip that includes working with children, you may be required to have a background check. Will you agree to a check?

Jordan International Aid requires compliance with rules and regulations, including the rules concerning conduct, dress and Christian lifestyle. These are explained in the Team Covenant, which will be provided to accepted team members. Failure by team members, leaders and staff to comply with these policies is grounds for dismissal. Team members, leaders, staff and volunteers serve at their own risk, and Jordan International Aid is not liable in the event of sickness, accident, death, or terrorist acts or for transportation and any other expense beyond normal involvement. We require all participants to be in good physical condition, and we may require a doctor’s reference and exam. I have read and understand the above information. The information I have given Jordan International Aid is accurate and true to the best of my knowledge. By completion and submission below it signifies my approval of all limitations listed above.

Jordan International Aid : Application

General Information

Work Experience / Talents

Health Information

Personal Information

Jordan International Submission Agreement