More than Gold - Host Application Form

CONTACT PERSON

Title

(Please tick)

Mr
Mrs
Miss
Other:

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First Name

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Last Name

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Liked to be called

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Email adress

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Mobile / Cell number

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Work phone number

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2. CHURCH or ORGANISATION DETAILS

Name of church or organisation

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Address

Address / City / County / Post code

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Contact telephone number

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Website address

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Affiliation / Denomination

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Our church is VAT-registered

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3. YOUR OUTREACH PROGRAMME

Please describe your outreach programme in FEW WORDS

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4. TEAM DETAILS

Number of TEAM MEMBERS needed

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Language Skills needed

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

Name of partner church/ organisation - Contact name - Contact telephone number - Town/ City

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If you have already chosen a mission team, please provide the following details

Name of mission team - Contact name - Contact telephone number - Town/ City

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5. OUTREACH DATES

More than Gold is running the 2012 outreach mainly in three blocks. Each block begins with training and ends with a celebration event.

Please select when the mission team(s) will be needed for your outreach programme. You can choose more than one block.

If only one day, please select "other" and mention the specific date

Block 1 : 26 July 2012 - 3 August 2012 (Teams will arrive for orientation on 24 July and depart on 3 August 2012)
Block 1 : YWAM teams only : 27 July 2012- 3 August 2012 (Teams will arrive for orientation on 25 July and depart on 3 August 2012)
Block 2 : 5-13 August 2012 (Teams will arrive for orientation on 3 August and depart on 13 August 2012, except Catholic teams that will arrive on 1 August for orientation)
Block 3 : 30 August 2012 - 10 September 2012 - Paralympics. (Teams will arrive for orientation on 28 August and depart on 10 September 2012)
Other:

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6. ACCOMMODATION

Our church will be able to provide accomodation for team members

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If Yes, what kind of accommodation will be provided ?

Dormitory set-up inside the church hall / school hall with sufficient bathroom facilities
Host Family
Other:

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Teams will need to bring their own bedding

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7. MEALS

Our church will provide the following daily meals for team members

The mission team(s) will not receive accomodation from us. We will therefore provide bevergaes and commit to one warm meal per day
Teams will receive accommodation through us and we will therefore commit to at least two meals a day and beverages
Other:

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8. TRANSPORT

What is your nearest public transport point ?

Please specify (Tube, train, bus station)

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Our outreach venue is based outside London (outside travel zone 6)

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If yes, what kind of transport will be provided ?

Transport will be organised by us
We wil pay for the teams transport costs and will provide proper directions
Other:

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Signed by :

Please print name

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