Ukombozi Arts Clinic
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    Application Form

    INSTRUCTIONS: The following online application will take approximately 45-90 minutes depending on the detail of your answers.  Please look through the application before attempting it so that you will have any necessary information available.  Be sure to download the forms, sign them electronically and upload them to the bottom of this form.  You will also need an updated photo of yourself for application identification.  If you do not already have a passport, please begin the process of obtaining one as soon as possible.  Be sure to take the online love language test and Spiritual Gifts test and save the results before attempting this application.  

    If you would rather fill out an application by hand, please disregard this form and download/upload at the bottom of the page.

    Click here for Trip Info.  The cost of a two week journey to Kenya is approximately $3,500.  
    This cost covers international airfare, transportation, lodging, meals, 1 cultural event, program costs and training. 
    Upon receipt of acceptance letter, a $350 non-refundable deposit must be submitted towards entire payment.


    Please allow up to 3 weeks for review of application!

    Personal Information

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    In case of an emergency, please notify:

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    Medical History:


    Physician Information:

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    Insurance Information:

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    Character Reference/ Ministry Info:

    Please list three character references from different areas of your life.
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    Involvement:


    Testimony:

    The following question may feel extremely uncomfortable for you but must be answered due to the condition of the girls and boys we will be working with?

    Salvation is about a Loving Relationship


    We Believe God loves you and has a plan for your life. (See John 3:16 and John 10:10)

    We Believe man separates himself from God through choices that are contrary to Him. (See Romans 3:23 and Romans 6:23)

    We Believe Jesus is the only way you can truly know God and experience His love and plan for your life. (See 1 Peter 3:18 and John 14:6)

    We Believe it is through faith that we enter into relationship with Jesus. (See John 1:12, Ephesians 2:8-9 and Revelations 3:20)

    We Believe that when we enter into relationship with Jesus we are promised an eternal life with Him. (See 1 John 5:11-13)

    We Believe that once we enter into a relationship with Jesus He will never leave our side. (Hebrews 13:5)
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
    You can upload all the signed forms as one file or upload them individually as indicated below.
    Max file size: 20MB
    Your photo is strictly for application identification purposes!
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
Prayerfully Submit

Application and Forms

Application & Forms
File Size: 130 kb
File Type: pdf
Download File

Forms
File Size: 84 kb
File Type: pdf
Download File

Forms
File Size: 22 kb
File Type: docx
Download File

    Hand-Written Application Submission

    Max file size: 20MB
    Max file size: 20MB
Submit
REDEEM With God
Nicholasville KY USA 40356

Isebania, Kisumu & Alendu KENYA

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QUICK LINKS
Career Opportunities

Short-term Journeys
Supply our Arts
Sponsor a Child- NEEMA
Sponsor a Child- INTREACH
Sponsor  a Program- CHRISTIAN CENTER
Sponsor a Program- BREAKING GROUND
'I will not leave you as orphans; I will come to you.' John 14:18 NIV http://www.facebook.com/Repurchase