CfN Application Form

Application Form 2017

MUST be filled in by all interested parties

FINAL DATE for APPLICATIONS: 30th April 2017

The team will be announced via email on the 13th May 2017

While all applications will be considered, there are limited positions on the teams and a thorough screening process is carried out on all applicants. Application does therefore not guarantee a position on the team.

COST: Approximately R 4000 (max, this will still need tweaking closer to the time). I understand that I need to raise my own support for the costs involved with joining the CfN mission which will take place from 2nd until 18th July 2017

Applicants Name(*)
Please type your full name.

Home Church
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Training Days (check box where you can attend)

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Personal Information

Full Name
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E-mail(*)
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ID Number
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SA Passport Number
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Expiry date of passport
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Telephone Number
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Cellphone Number
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Medical Aid Company
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Customer services Number
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Hospi-serve Number
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Emergency Assistance (in SA)
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International Emergency Tel: (Out of SA)
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Malaria tablets you plan to take
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When started?
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Other
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Medical conditions or allergies you have and/or medication you are taking
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Next of Kin
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Contact Number
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Cell Number
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Their Email Address
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Transport and Camping

I can offer a vehicle (preferably 5 or more seater)
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Type of vehicle
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Vehicle Owned by
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Owners contact numbers
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I can offer a trailer
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Trailer belongs to
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Owner's contact numbers
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I am in possession of a valid drivers licence
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I am over 25 years of age and am happy to drive
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I am also happy to drive a vehicle with a trailer
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I have a tent (state size and shape)
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Spiritual and Ministry Information

Which team would you like to be involved in

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Ministry Involvement at your local church or outside your church
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Your spiritual gifts/areas you feel gifted in
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Other work experience/qualifications besides ministry
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Please give a brief story of your relationship with the Lord - How and when you became a follower of Jesus, how that has changed your life
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Why do you want to be part of the Churches 4 Namibia Mission?
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Reference: Name of minister at the church you attend
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Minister's Contact Number
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Minister's Email Address
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Anti Spam measure(*)
Anti Spam measure
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Type in the numbers you see above

I agree to and am happy to submit to the Constitution of REACH SA as well as the practices of the Handbook of Procedure.(*)
This box needs to be checked in order for you to apply for this mission trip.

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