Dale C. Garside, Ph.D.

1. What is your name, as it is written on your passport?
2. Do you currently have a passport in your possession?
3. What are your home address, phone numbers, and email?
4. Who should be contacted in case of an emergency while you are in Bolivia? (complete address, emails, & phone numbers, please)
5. Have you enclosed a digital ID photo of yourself? If not, can you send a hard copy?
6. Have you enclosed a digital copy of the information pages of your passport? If not, can you send a hard copy?
7. What is your major in college?
8. What extra-curricular activities are you involved in college?
9. Estimate your level of Spanish: Elementary? Intermediate? Advanced? Elaborate on any training or language experiences you have had if you would like.
10. Do you play any musical instruments? Do you sing? Elaborate.
11. Do you have training or experience in drama? Elaborate.
12. Do you have another special skill that would be valuable in private or public ministry to others? Elaborate.
13. Do you believe the Bible is the inerrant, inspired Word of God?
14. If you were to die today, do you know for certain that you would go to heaven?
15. If you were standing before God after your death and He were to ask you why He should let you into heaven, what would you say?
16. Did you attend a local church regularly as you were growing up? Elaborate.
17. Do you currently attend a local church regularly? If so, which one?
18. Attach for a non-believing reader a 1-3 minute personal testimony about your life before receiving Christ and your life after receiving Christ. If you received Christ as a child, simply dwell on your life after receiving Him.
19. Where would you like to fly from to begin the trip?
20. Where would you like to fly to at the end of trip?
21. How are you primarily paying for the trip?
22. Why do you feel God wants you to participate in this mission trip?
23. Have you ever been on a short term mission trip before? Elaborate. Mention other international experiences you have had.
24. Why do you want to go to Bolivia?
25. Are you willing to remain the entire time the Emmanuel team is in Bolivia (the month of June 2007)?
26. Are you willing to live the entire month with a Bolivian host family?
27. Are you willing to study Spanish at least four hours a day during the week?
28. What do you hope to gain from this experience?
29. What prior experience do you have with mission trips or ministry work?
30. What would you say are your greatest gifts or talents?
31. What contributions would you like to make to the team?
32. How well have you worked with other people on other teams?
33. What would you like to see God accomplish in you, the team, and the people of the country you will be visiting?
34. Based on previous trips, especially cross-cultural ones, do you adjust well to change?
35. How badly do you want to go?
36. How have you prepared yourself for this trip?
37. What is your chief concern about this trip?
38. Do you understand that if you become romantically attracted to a national during this trip, that you will postpone a deepening of that relationship until the trip is completed?
39. Do you understand that you are responsible for your own medical and travel expenses in case of an emergency? (You may want to inquire about international travel insurance with your travel agent before leaving.)
40. Do you agree that Dr. Dale Garside, Emmanuel College, and the Evangelical University of Bolivia are not liable in the event of a personal tragedy (you are kidnapped, injured, or killed during this trip, for example?)
41. Is there anything else you would like to mention so that our Bolivian might gain more insight into who you are and where they should place you in a family and in ministry?
42. If sent back with hard copy, please sign and date affirming that all the above information is correct.
43. Please return as soon as possible; an electronic return is preferable

Dr. Dale Garside
Emmanuel College
P.O. Box 129
Franklin Springs, GA 30639
Work phone: 706-245-7226
Home phone: 706-282-7011
Email: dgarside@eclions.net