June 3-6, June 10-16, June 17-23, June 24- 30 ,July 8-14,
July 15-21, July 22-28, July 29- Aug 4 (circle one)
City State Zip
Phone (cell) Email
Employer (if student, name school)
Church where you attend
What would you REALLY love to do on this project?
Past Ministry Experience
Health Concerns or Disablities? (if so, please detail on the back)
Emergency Contact Name and phone
Please attach (1) a brief recommendation email from your pastor, church pastoral staff member or someone else in who knows you well (2) $50 deposit to hold your place – applied to your total. (3) We also require applicants to send us a background check before you come. Send payment to: GraceWorks, 4149 Checkmate Dr, Anchorage, AK 99508.