Global Transformation Application – Brazil Trip October 2019

Global Transformation Application
BRAZIL TRIP OCTOBER 2019

Depart to Brazil September 29, 2019 – Return to Country of Origin October 6, 2019 | Arriving in Brazil September 30th



// PERSONAL INFORMATION

Application Fee [THIS FEE IS NON-REFUNDABLE]
$35 USD

Name (* EXACTLY AS IT APPEARS ON YOUR PASSPORT)

Country of mission trip applying for:

Nickname or name you like to be called

Gender
MaleFemale

Address

Address Line 2

City/State

Marital Status
MarriedSingle

My Country

Date of Birth

Your Email

Cell Phone

Home Phone



// MEDICAL INFORMATION

You are required to have medical travel insurance to participate on our missions trips:
I already have Travel InsuranceI will be purchasing Travel Insurance

Do you have a physical disability?
YesNo

If so, please describe:

Have you ever been treated for any mental/emotional condition?
YesNo

If so, please describe:

Please list any condition that may limit your participation and/or any medications you are currently taking

Please list any allergies to food, medicine, insects, etc.



// EMERGENCY CONTACT INFORMATION

Emergency Contact Name:

Relationship

Email Address

Phone



// MISSIONS TRIP INFORMATION

I am applying for the trip to

On the dates of:

Passport Number:

Expiration Date:

Country of Issue:



// REFERENCES

Reference Name #1

Relationship with Applicant #1:
ie. Pastor, Colleague, Supervisor, Family Friend

Reference Email #1

Reference Phone #1

Best Time to Call #1

Reference Name #2

Relationship with Applicant #2:
ie. Pastor, Colleague, Supervisor, Family Friend

Reference Email #2

Reference Phone #2

Best Time to Call #2



// MISSION TRIP BACKGROUND INFORMATION

Have you previously travelled on a missions trip? If yes, please give details.

How would you describe your personality and temperament?

Are you fluent in any language other than English? If yes, what language? Would you be willing to be an interpreter if applicable?

What do you desire to see God do for you or through you on this missions trip?



// MINISTRY BACKGROUND INFORMATION

Do you attend a Church?
YesNo

In what areas of church life are you currently serving or have served in the past?

What do you believe are your natural and spiritual giftings?

Have you received any other Christian Ministry training? If so, please explain:



// CHURCH AND MINISTRY INFORMATION

Name of Church and/or Ministry

Denomination and/or Affiliation, if any.

Address Church and/or Ministry

Address Line 2 Church and/or Ministry

City/State Church and/or Ministry

Country Church and/or Ministry

Phone Church and/or Ministry

Additional Information for Church and/or Ministry

Please Note: Take a picture of of your passport with your cell phone. A passport picture is required for all missions trips. Please click here to email Global Transformation.

I hereby confirm that I’ve prayed about going on this missions outreach. By signing this waiver, I promise to uphold godly values while on this trip and to submit to leadership and those responsible for my safety. I also acknowledge that I am in good physical and emotional health, and will not hold Global Transformation or their employees or agents liable for any harm, sickness or injury to me that may result from this trip. I will check with my doctor and make sure that all my vaccinations are up to date. I will obtain a valid passport and visas when necessary. I know that the application is not complete until this waiver is signed and a deposit is received.

By typing full name, I state that I have fully read and agreed to the statements above.

By typing today’s date below, I state that I have fully read and agreed to the statements above.

Clicking "Submit" will redirect you to Paypal. A confirmation e-mail will be sent to you by our team ONLY IF transaction was successful.

* Your application won’t be considered completed until your fee of $35 USD has been paid.