Community Health Evangelism

Includes course instruction, materials, comfortable housing and tasty meals. Our affordable fees are made possible by professional instructors who volunteer or raise their own support. 

Before you begin your course, please fill out this form with the necessary information.

  • Student's First Name: *

  • Student's Last Name: *

  • Full Address: *

  • Email Address: *

  • Phone Number: *

  • Age: *

  • Country of Interest: *

  • Organization You Represent: *

  • Health Insurance Carrier: *

  • Health Insurance Policy Number: *

  • Year of Last Tetanus Shot: *

    Max: 4 characters

  • Nametag: *

  • Your Name on the Certificate: *

  • How Did You Learn of This Course? *

  • Roommate Preference *

  • When Will You Leave For The Field? *

  • *

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Includes course instruction, materials, comfortable housing and tasty meals. Our affordable fees are made possible by professional instructors who volunteer or raise their own support.

 

Meet Your Instructor

Check back for instructor info!

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