Mission Team Application Form

1. Team Leader Information

Title

(Please tick)

Mr
Mrs
Miss
Other:

This is a required question

First name

As it appears on your passport

This is a required question

Last Name

This is a required question

Liked to be called

This is a required question

Email adress

This is a required question

Address

Address / City / County / Post code

This is a required question

Mobile / Cell number

This is a required question

Work phone number

This is a required question

Passport number

This is a required question

Expiry Date

This is a required question

Date of Birth

dd/mm/yyyy

This is a required question

Medical conditions

including any dietary requirements

This is a required question

Emergency contact details

This is a required question

I am in possession of a Criminal Records Bureau certificate, FBI check or equivalent police clearance

This is a required question

I will not be able to obtain a Criminal Records Bureau certificate or equivalent police clearance check. I need to complete the More Than Gold Waiver Form.

please check

This is a required question

Where did you hear about the More Than Gold outreach initiative?

This is a required question

2. CHURCH or ORGANISATION DETAILS

Name of church or organisation

This is a required question

Address

Address / City / County / Post code

This is a required question

Contact telephone number (including country code)

This is a required question

Website adress

This is a required question

Affiliation/ denomination

This is a required question

Please provide details for the leader of your church / organisation, who can certify your competence as a Team Leader and their trust in the team as a whole

First name

This is a required question

Last name

This is a required question

Position in your church/ organisation

This is a required question

Email adress

This is a required question

Contact telephone number (including country code)

This is a required question

4. TEAM DETAILS

Teams consist of between 5 to 20 members

Expected number of team members (excluding Team Leaders)

This is a required question

Details of Assistant Team Leader (for larger teams)

Title

Mr
Mrs
Miss
Other:

This is a required question

First Name

As it appears on your passport

This is a required question

Last Name

This is a required question

Like to be called

This is a required question

Email address

This is a required question

Date of birth

dd/mm/yyyy

This is a required question

*If you are a Creative / Performing Arts team, please fill this form and follow the following link to complete a detailed online arts form: http://morethangold.org.nz

You will need to fill the Visual/ Performer application form for your team AND an individual application form for each member of the team.

Language Skills

This is a required question

Are you willing to work outside of London. IF YES: Part time/Full Time Specific locations.

Part of the time
All the time

This is a required question

If you are already working with a partner church / organisation in the UK for the 2012 Games, please provide the following details

Name of partner church / organisation

This is a required question

Town / City

This is a required question

Contact name

This is a required question

Contact telephone number

This is a required question

Contact email address

This is a required question

4, Accommodation & Travel

Please tick the type of accommodation your team will be using (see the supporting document for details).

GOLD

High Leigh Conference Centre @ £67 per person/night (incl. 20% tax)
The Highbury Centre @ £75.00 per person/night (incl. 20% tax) (Fully booked for block 2)
William Booth College (Arts Teams Only) – £40.00 per person/night
St. Katharine Conference Centre @ £75.00 per person/night (incl. 20% tax) (Fully booked for block 1 & 2)

This is a required question

SILVER

High Leigh Conference Centre @ £52 per person/night (incl. 20% tax) (Fully booked for block 1 & 2)
The Highbury Centre @ £65.00 per person/night (incl. 20% tax) (Fully booked for block 1)
All Nations College @ £35 per person/night (incl. 20% tax)
YWAM Harpenden @ £25 per person/night (incl. 20% tax)

This is a required question

BRONZE

High Leigh Conference Centre @ £25 per person/night (incl. 20% tax) (Block 1 is fully booked)
YWAM Tent City @ £10 per person/night (incl. 20% tax)
All Nations College @ £22 per person/night (incl. 20% tax)
The Joshua Camp @ £118 for the duration of the block (Catholics only)
I am part of the Fusion UK group and want to be based with them
We are an YFC team and need to be based with YFC @ £10.00 per person/night (incl. 20% tax)
William Booth College @ £18.00 (Arts Teams & Salvation Army Teams Only)

This is a required question

If you will be arranging your own accommodation, please answer the following questions

We will be staying at :

This is a required question

Address :

This is a required question

Contact details:

This is a required question

More than Gold is running the 2012 outreach in mainly three blocks. Each block begins with training and ends with a celebration event. Teams can attend one or more blocks. Please tick which block(s) your team would prefer:

Block 1 : 24 July 2012 - 3 August 2012
Block 1 : (YWAM base only) : 25 July 2012 - 3 August 2012
Block 2 : (Catholics only) : 1-13 August 2012
Block 2 : 3 - 13 August 2012
Block 3 : 28 August 2012 - 10 September 2012 (Paralympics)
Other:

This is a required question

Traveling Information (it it is known already)

Arrival date

This is a required question

Arrival airport or station

This is a required question

Departure date

This is a required question

Departure airport or station

This is a required question

Inbound and outbound carrier

This is a required question

5. Payment

Please refer to section 5 of the supporting document Fees There are three categories of registration fee: Category 1: standard registration fee of £75.00 GBP per Team Leader / team member. Category 2: concessional fee, for those from the developing world, of £25.00 GBP per Team Leader / team member. Category 3: we are offering the opportunity for you to sponsor a concessional place at a cost of £125.00 GBP per Team Leader / team member. This fee includes the standard registration fee of £75.00 GBP per Team Leader / team member plus £50.00 sponsorship towards a concessional place Please indicate the number of registration fees you require for each category:

Categorie 1 : number of standard registration fees required:

This is a required question

Categorie 2 : number of developing world registration fees required:

This is a required question

Categorie 3 : number of sponsored concessional registration fees required:

This is a required question

You will shortly receive an invoice for your initial payments (including registration fees), in-line with section 5 in the supporting document.

How to Pay: Teams from the UK will be sent an invoice from our London Office. Address questions to UK Helpdesk at (+44) 0845 475 2012. Teams from North America - teams from the USA or Canada will be sent an invoice from our US Office. Address questions to USA Help Desk at (+01) 937 732 4223 Teams from the rest of the world can choose to receive an invoice either from our UK office or US office (for those wishing to pay in US$).

I would like to receive an invoice from

UK office
US office

This is a required question

Signed by :

Please print name and click CONTINUE key. Application is only submitted after the "SUBMIT" key at the end of the sports section is pressed.

This is a required question

Mission Team Application Form - More than Gold

1. Team Leader Information

2. CHURCH or ORGANISATION DETAILS

4. TEAM DETAILS

*If you are a Creative / Performing Arts team, please fill this form and follow the following link to complete a detailed online arts form: http://morethangold.org.nz

4, Accommodation & Travel

5. Payment

You will shortly receive an invoice for your initial payments (including registration fees), in-line with section 5 in the supporting document.