Welcome to our online application form!

Overview of Teams 2017:

BELFAST NEWTOWNBREDA:

Date: 3rd - 8th July 2017
Leaders: Jonny & Sharon Ward
Activities/Roles on Mission: Coaching support needed for Sports Camp for Kids and Teenagers, Helpers needed to run creche (0-4 years), Helpers needed to serve breakfast and lunch each day for team, Helpers needed to support admin of applications, Small Group Leaders, Prayer Warriors - all needed for Sports Camp 2017!! 
Price: £0! (Team Members will be asked to pay for their own team t shirt)

BELFAST MILLTOWN:

Date: 4th - 11th July 2017
Leaders: Ricky & Margaret Wallace
Activities on Mission: Kids Club / Acts of Kindness / Family Fun Day on 11th July - with Milltown Baptist reaching the people of Belvoir and Milltown!
Price: £0! (Team Members will be asked to pay for their own team t shirt)

BELFAST GREAT VICTORIA STREET
(This team is limited to 16 people + 1 bus driver and is for people aged 18+):

Date: 13th - 20th August 2017
Leader: Jenna Manley
Activities on Mission: Kids Club & Youth Club reaching kids of Sandy Row, Inner city outreach - supporting Great Victoria Street Baptist Church
Price: £0! (Team Members will be asked to pay for their own team t shirt)

BELFAST BRANIEL: [THIS TEAM IS NOW FULL AND IS CLOSED TO APPLICATIONS]:

Date: 5th - 12th August
Leaders: Noel & Liz Brown 
Activities on Mission: Kids Club, Acts of Kindness & Outreach in the Braniel Estate!
Price: £0! (Team members will be asked to pay for their own team t shirt)

BELFAST ANTRIM ROAD:
(This team is for people aged 18+)

Date: 6th - 13th August 2017
Leaders: Phil and Victoria Orr
Activities on Mission: Outreach and Evangelism in Parks, Acts of Kindness, Door To Door Work, North Belfast Festival Fun Day, Kids Family Fun Day
Price: £0! (Team members will be asked to pay for their own team t shirt)

ROMANIA:

Dates: 19th - 31st August 2017
Leaders: Glenn & Lindsey Stobo
Activities on Mission: Kids Camp / Ministry to Single Mums / Practical Work / Outreach on Streets
Price: £550 (price includes flights, accommodation, food, team t shirt & insurance)

PORTUGAL [IGNITE UPPER SIXTH TEAM]: 

Date: 15th - 22nd July
Leader: Ruth & DJ Johnston 
Activities on Mission: Facilitation of Camp Sonshine Portugal with Glen Bowden
Price: £500 (price includes flights, accommodation, food, team t shirt & insurance)

SPAIN [THIS TEAM IS NOW FULL AND IS CLOSED TO APPLICATIONS]:

Date: 20th - 29th July
Leader: Rebekah & David Frazer
Activities on Mission: Kids Club, Outreach on the streets, Supporting local churches, English lessons with families
Price: £540 (price includes flights, accommodation, food, team t shirt & insurance)

NIGERIA

Date: 1st - 15th September 
Leader: Stephen Ashfield
Activities on Mission: Village Outreach, Children's clubs, medical outreach (for doctors/nurses) and building work. 
Price: £1600 (Price includes flights, accommodation, food, insurance and team t shirt).

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* 1. Surname

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* 2. Forename (s)

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* 3. Date of Birth (dd/mm/yy)

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* 4. Age

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* 5. Address

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* 6. Home Phone Number

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* 7. Mobile Phone Number

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* 8. E Mail Address

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* 9. Nationality

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* 10. Passport Number (if applying for Portugal, Spain, Romania or Nigeria)

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* 11. Passport Expiration Date (if applying for Portugal, Spain, Romania or Nigeria)

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* 12. Emergency contact during summer 2017

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* 13. Please give details of any convictions for criminal offences (including nature of offence and sentence)

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* 14. Please briefly describe your faith journey

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* 15. Please briefly describe what skills / gifts / passions you can bring to a mission team? (eg. musical skills, passion for kids work, foreign language skills, practical skills, etc)

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* 16. Briefly describe any mission teams you have served on in the past. What did you learn?

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* 17. In the event of our teams being oversubscribed please state your team order of preference (eg. Belfast Great Victoria Street)

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* 18. Why have you chosen to apply for the teams you have chosen?

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* 19. Please describe any medical conditions that need to be taken into consideration

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* 20. IF APPLYING FOR PORTUGAL, SPAIN, ROMANIA OR NIGERIA PLEASE ANSWER QUESTIONS 20-22. IF NOT, PLEASE SKIP TO QUESTION 23.

Have you during the last year;

(a) stayed in hospital; had surgery; or seen a specialist or consultant?
(b) been prescribed medication for the treatment of blood pressure and or Diabetes?
(c) been diagnosed with, or prescribed medication for the treatment of epilepsy or fits?
(d) been diagnosed with, or prescribed medication for the treatment of a kidney or bladder disorder?
(OR e) been prescribed medication for the treatment of a breathing condition like Asthma or Pneumonia?

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* 21. Have you EVER;

(a) had a heart attack or a heart related condition, including Angina?
(b) been diagnosed with, or treated for any malignant condition or any type of cancer?
(OR c) had any cerebrovascular problems, including stroke, transient ischaemic attack or brain haemorrhage?

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* 22. Are you suffering symptoms; under investigation for any undiagnosed condition; awaiting tests, test results or changes to treatment?

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* 23. Referees - please provide the name and contact details for 2 referees

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* 24. Signature of applicant (please type full name)

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* 25. If under 18 please enter the full name of your parent / guardian. By entering their full name, your parent / guardian agrees to give parental consent for you to be involved in summer mission teams 2017

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* 26. Date (dd/mm/yyyy)

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