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Gender

Male

Female

Name

First Middle Last

Phone

Birth Date*

Age

Name as it appears on your PASSPORT*

First, Middle, Last

Birth Date on your PASSPORT*

Expiration Date on your PASSPORT*

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Parent's Name(s)

Parent's Phone Number

Parent's Email Address

Parent's Address

Street Address City State / Province / Region ZIP / Postal Code Country

Have you attended SMBI before?*

Yes

When did you attend?

Please upload a recent photo of yourself.*

Max. file size: 512 MB.

Marital Status

Single

Married

Widowed

Will spouse be attending?

Yes

Name of church you presently attend:

Denomination

Conference

Pastor's Name

Pastor's City/State/Zip

Pastor's Phone Number

Pastor's Email Address

Do you possess a current SMBI Catalog/Handbook?

Yes

Have you read it?

Yes

Special Diet (Specify need)

Testimony*

Briefly describe your personal experience of coming to salvation through Jesus Christ and summarize your spiritual growth and development since your conversion. Also describe your present walk with God, being free to share areas of both struggle and victory.

I appreciate the opportunity to attend SMBI as a student. Therefore, I will do my best to abide by and promote the rules and standards set forth in this handbook.

It is my intention to have an experience of spiritual growth and to enhance the spiritual atmosphere of SMBI by my personal conduct.

I understand that should I become lax in observing these rules, I am open to be disciplined by the Administration of SMBI.

I agree to follow the rules as set forth in the Student Handbook and herewith I affix my signature.

Signature*

Missions Experience

Please list any mission experience, formal training, or knowledge of any foreign languages that may be helpful on the mission

Do you have any questions?

I want to register for involvement with:

First Choice*

Second Choice*

Third Choice*

Please fill out the following questions

Describe your current relationship w/ parents & church leaders*

Describe your music listening tastes & favorite artists*

Describe your current use of internet, apps, etc.*

Do you tend to be a leader, follower, or other?*

Do you tend to be an introvert or extrovert?*

Registration Fee

Price:

Payment Method*

Credit Card

PayPal

Send check by mail

Credit Card

Card Details

Cardholder Name

Cambodia – Destinations International
Dominican Republic, Jimani – International Faith Missions
Dominican Republic – Blue Ridge International
Grenada – Olive Branch Mennonite Missions
*Guatemala City – Mennonite Air Missions
Guatemala, El Chal (Good Samaritan Clinic) – Jungle Breezes Youth Ministries
Guatemala, El Chal (Mission Base) – Jungle Breezes Youth Ministries
Guatemala, El Chal (Tree of Life School) – Jungle Breezes Youth Ministries
Guatemala, El Chal (La Anchura Boy's Ranch) – Jungle Breezes Youth Ministries
*Ireland, Waterford – Comeragh Wilderness Camp
Kenya – Christian Aid Ministries
Liberia, Monrovia – Christian Aid Ministries
Mongolia – Destinations International
Nicaragua – Olive Branch Mennonite Missions
Arkansas, Harrison — Hillcrest Home
Florida, Fort Lauderdale – Regeneration Church
Maryland, Oldtown – Allegany Boys Camp
New York City – Destinations International
Cherry Creek, South Dakota – Olive Branch Mennonite Missions
Ohio, Summerfield – Ohio Wilderness Boys Camp
Pennsylvania, Mill Hall – Bald Eagle Boys Camp
State College, Pennsylvania – LifeQuest Community
Texas – Anabaptist Refugee Committee

Cambodia – Destinations International
Dominican Republic, Jimani – International Faith Missions
Dominican Republic – Blue Ridge International
Grenada – Olive Branch Mennonite Missions
*Guatemala City – Mennonite Air Missions
Guatemala, El Chal (Good Samaritan Clinic) – Jungle Breezes Youth Ministries
Guatemala, El Chal (Mission Base) – Jungle Breezes Youth Ministries
Guatemala, El Chal (Tree of Life School) – Jungle Breezes Youth Ministries
Guatemala, El Chal (La Anchura Boy's Ranch) – Jungle Breezes Youth Ministries
*Ireland, Waterford – Comeragh Wilderness Camp
Kenya – Christian Aid Ministries
Liberia, Monrovia – Christian Aid Ministries
Mongolia – Destinations International
Nicaragua – Olive Branch Mennonite Missions
Arkansas, Harrison — Hillcrest Home
Florida, Fort Lauderdale – Regeneration Church
Maryland, Oldtown – Allegany Boys Camp
New York City – Destinations International
Cherry Creek, South Dakota – Olive Branch Mennonite Missions
Ohio, Summerfield – Ohio Wilderness Boys Camp
Pennsylvania, Mill Hall – Bald Eagle Boys Camp
State College, Pennsylvania – LifeQuest Community
Texas – Anabaptist Refugee Committee

Cambodia – Destinations International
Dominican Republic, Jimani – International Faith Missions
Dominican Republic – Blue Ridge International
Grenada – Olive Branch Mennonite Missions
*Guatemala City – Mennonite Air Missions
Guatemala, El Chal (Good Samaritan Clinic) – Jungle Breezes Youth Ministries
Guatemala, El Chal (Mission Base) – Jungle Breezes Youth Ministries
Guatemala, El Chal (Tree of Life School) – Jungle Breezes Youth Ministries
Guatemala, El Chal (La Anchura Boy's Ranch) – Jungle Breezes Youth Ministries
*Ireland, Waterford – Comeragh Wilderness Camp
Kenya – Christian Aid Ministries
Liberia, Monrovia – Christian Aid Ministries
Mongolia – Destinations International
Nicaragua – Olive Branch Mennonite Missions
Arkansas, Harrison — Hillcrest Home
Florida, Fort Lauderdale – Regeneration Church
Maryland, Oldtown – Allegany Boys Camp
New York City – Destinations International
Cherry Creek, South Dakota – Olive Branch Mennonite Missions
Ohio, Summerfield – Ohio Wilderness Boys Camp
Pennsylvania, Mill Hall – Bald Eagle Boys Camp
State College, Pennsylvania – LifeQuest Community
Texas – Anabaptist Refugee Committee