Mission Team Application Form - More than Gold
Please complete this form if you are interested in sending a mission team during the Olympic Games 2012.
All forms MUST be submitted before the 1st of June 2012.
* Required
1. Team Leader Information
Title
*
(Please tick)
Mr
Mrs
Miss
Other:
First name
*
As it appears on your passport
Your answer
Last Name
*
Your answer
Liked to be called
Your answer
Email adress
*
Your answer
Address
*
Address / City / County / Post code
Your answer
Mobile / Cell number
*
Your answer
Work phone number
Your answer
Passport number
*
Your answer
Expiry Date
*
Your answer
Date of Birth
*
dd/mm/yyyy
Your answer
Medical conditions
including any dietary requirements
Your answer
Emergency contact details
*
Your answer
I am in possession of a Criminal Records Bureau certificate, FBI check or equivalent police clearance
*
Yes
No
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
Clear selection
Where did you hear about the More Than Gold outreach initiative?
*
Your answer
2. CHURCH or ORGANISATION DETAILS
Name of church or organisation
*
Your answer
Address
*
Address / City / County / Post code
Your answer
Contact telephone number (including country code)
*
Your answer
Website adress
Your answer
Affiliation/ denomination
Your answer
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
*
Your answer
Last name
*
Your answer
Position in your church/ organisation
*
Your answer
Email adress
*
Your answer
Contact telephone number (including country code)
*
Your answer
4. TEAM DETAILS
Teams consist of between 5 to 20 members
Expected number of team members (excluding Team Leaders)
*
Your answer
Details of Assistant Team Leader (for larger teams)
Title
Mr
Mrs
Miss
Other:
Clear selection
First Name
As it appears on your passport
Your answer
Last Name
Your answer
Like to be called
Your answer
Email address
Your answer
Date of birth
dd/mm/yyyy
Your answer
Which ministry(ies) would make the best use of your team (please select. You can select as many areas as you like)
*
** If you have selected Sport Outreach, please also complete Annexures A
Sports Outreach**
Creative Performing Arts*
Visitor Outreach
Prayer
Service Projects
Local community outreach
Children's ministry
Youth ministry
Chaplaincy (at airports and stations)
Hospitality
Open Crowd Festival / Family Fun Day
Other:
Required
*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
Your answer
Are you willing to work outside of London.
IF YES:
Part time/Full Time
Specific locations.
Part of the time
All the time
Clear selection
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
Your answer
Town / City
Your answer
Contact name
Your answer
Contact telephone number
Your answer
Contact email address
Your answer
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)
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)
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)
If you will be arranging your own accommodation, please answer the following questions
We will be staying at :
Your answer
Address :
Your answer
Contact details:
Your answer
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:
Required
Traveling Information (it it is known already)
Arrival date
Your answer
Arrival airport or station
Your answer
Departure date
Your answer
Departure airport or station
Your answer
Inbound and outbound carrier
Your answer
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:
Your answer
Categorie 2 : number of developing world registration fees required:
Your answer
Categorie 3 : number of sponsored concessional registration fees required:
Your answer
4
Your answer
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
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.
Your answer
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