GO Trip Application

GLOBAL OUTREACH TRIP APPLICATION

Welcome to the first step of a life changing short term missions (GO Trip) experience. Help us get to know you!

Please fill in all sections of the Application Form clearly. By providing your complete information, you allow us to ensure your optimal experience in this opportunity that will change your life!

For any questions or concerns, please contact The Gideons International In Canada | ShareWord Global (TGIC | SWG) by emailing goteam@sharewordglobal.com.

UNDER AGE OF MAJORITY: If you are under the age of majority in your respective province, your parent/legal guardian will need to be available to complete additional paperwork on your behalf as part of the application process.

NON-MEMBERS: If you are currently a non-member of The Gideons International In Canada | ShareWord Global (TGIC | SWG), upon successful completion of the GO Trip, you may be invited by our Membership Services team to consider the membership process at no obligation.

Personal Information

Your Name

Invalid Input

[full legal name(s) and spelling as it appears on your passport]

Address

Invalid Input

City

Invalid Input

Your preferred name (if different from above)

Invalid Input

Address

Invalid Input

Province

Invalid Input

Postal Code

Invalid Input

Email

Invalid Input

Country

Invalid Input

Country

Invalid Input

Phone Number

Invalid Input

Cell Phone Number

Invalid Input

Gender

Male

Female

Invalid Input

Date of Birth

/ / Invalid Input

UNDER AGE OF MAJORITY

First & Last Name of Parent/Guardian

Invalid Input

Cell Phone

Invalid Input

Email Address

Invalid Input

Home Phone

Invalid Input

Work Phone

Invalid Input

Emergency Contact Information

Your emergency contact person cannot be a person who is going on the trip with you.

Emergency Contact (Full Name)

Invalid Input

Relationship to You

Invalid Input

Emergency Contact Home Phone

Invalid Input

Emergency Contact Email Address

Invalid Input

Emergency Contact Cell Phone Number

Invalid Input

Travel Information

What Languages Do You Speak?

English

French

Spanish

Other (Please Specify)

Invalid Input

Please specify any other additional languages that you speak

Invalid Input

Nearest International Airport You Will Be Travelling From

Invalid Input

Is this your first GO Trip?

Yes

No

Invalid Input

What Year Did You Participate in a GO Trip?

Invalid Input

Are you a current TGIC|SWG Member?

Yes

No

Invalid Input

Select the Date You Wish to GO

Invalid Input

Select the Date You Wish to GO

Invalid Input

Select the Date You Wish to GO

Invalid Input

Select the Date You Wish to GO

Invalid Input

Malawi GO Trip Dates

Invalid Input

At this time, only applicants from the United States and Brazil are eligible to apply for this GO Trip.

Passport

• A passport valid for 6-months post travel is mandatory for participation on a GO Trip.
• To obtain a passport, download an online application at www.pptc.gc.ca, or visit your local passport office.
• Please apply for your passport as soon as possible in case of a delay.

NOTE: When visas are required, TGIC | SWG trip participants will be personally responsible for taking the necessary steps, and payments, to acquire such visa(s). Requirements are dependent on your citizenship. VisaHQ is a helpful resource in learning about the requirements you will need to follow https://cibtvisas.ca/).

IMPORTANT: Along with your respective GO Trip Application, scan and email a mandatory copy of the photo page of your Passport to goteam@sharewordglobal.com (file format must be .pdf, .png, or, .doc). The information will be deleted from our records once the purpose for which it was intended is completed.

Medical Information

Canadian participants must have a valid OHIP number/card in order to be eligible for travel insurance. Non-Canadian participants will be sent additional information by our administration, on how to obtain required travel insurance for the purpose of the GO Trip.

(Optional) Provincial Health Card (#)

Invalid Input

Your Doctor’s Name (First and Last):

Invalid Input

Expiration (MMM-DD-YYYY)

Invalid Input

Telephone (+extension):

Invalid Input

Medical Conditions

International ministry experiences can be rigorous. Conditions below marked with an asterisk* may require further medical documentation from a doctor, in addition to the mandatory Medical Release Form required to participate on the respective GO Trip.

List any other medical conditions that leadership on the trip should be made aware of in the event of an emergency, including medical treatment required

Invalid Input

Please explain any limitations, restrictions, or TREATMENT and MEDICATION (including prescription dosage), for the above conditions (include dosage and frequency)

Invalid Input

*All participants, regardless of age, are required to handle and administer their own medications for the duration of the trip. Leaders are made aware of your disclosed medical information for emergency purposes only.

Have you had a change in medication or been hospitalized in the last three (3) months as a result of any medical condition you have indicated above?

Yes

No

Invalid Input

If 'Yes', please explain

Invalid Input

List any phobias relevant to the activities of this GO Trip

Invalid Input

Have you ever received treatment for drug/alcohol dependency?

Yes

No

Invalid Input

If 'Yes', please explain

Invalid Input

Allergies, Accessibility and Vaccinations

If you have a life-threatening allergy, it is recommended you carry an Epi-Pen and wear a Medic-Alert bracelet. Be sure to bring all necessary medications for the duration of the trip and have them stored in original containers if possible.

Please disclose any other medical related factors that might impact your participation in the trip, not already indicated above

Invalid Input

Allergy

Invalid Input

Treatment

Epi-pen

Antihistamine (over counter prescription)

Prescribed medication

Other

Invalid Input

Severity

Mild

Moderate

Severe

Invalid Input

Allergy

Invalid Input

Treatment

Epi-pen

Antihistamine (over counter prescription)

Prescribed medication

Other

Invalid Input

Severity

Mild

Moderate

Severe

Invalid Input

Allergy

Invalid Input

Treatment

Epi-pen

Antihistamine (over counter prescription)

Prescribed medication

Other:

Invalid Input

Severity

Mild

Moderate

Severe

Invalid Input

Mild: rash or hives, localized itching, runny nose, watery/red eyes, etc. mild allergic reactions may include local symptoms that do not spread to other parts of the body.

Moderate: wide-spread itching, difficulty breathing, hives, swelling, abdominal pain, etc. Moderate allergic reactions CAN spread to others parts of the body.

Severe: life-threatening, itching of eyes/face, varying degrees of swelling of the mouth, throat, and tongue that can make breathing and swallowing difficult, mental confusion or dizziness, abdominal pain, cramps, vomiting, diarrhea, etc. Life-threatening reactions affect the whole body.

List any special dietary restrictions (or indicate “N/A” is not applicable)

Invalid Input

*Note: Please be aware that in-country hosts cannot guarantee that all disclosed dietary restrictions of participants can be met. Therefore, it is recommended and expected that you personally pack snacks, supplements, etc. in your luggage as appropriate, to meet your unique dietary needs.

Do you have any accessibility requirements?

Yes

No

Invalid Input

If 'Yes', please explain

Invalid Input

Vaccinations

• If accepted for the trip, you are responsible for visiting your own authorized travel clinic to receive any necessary vaccinations. You must indicate to the travel doctor/nurse the city (or cities) and country you will be traveling within.
• For more information, please visit the Public Health Agency of Canada at www.canada.ca/en/public-health.html.
• TGIC|SWG will require you to provide proof of vaccinations (or a doctor’s note of exemption) where required by the country of entry or by the government of Canada travel advisories. For advisory information visit: www.travel.gc.ca/travelling/advisories

Invalid Input

Team Member Agreement and Criminal Records Check

Criminal Records Check

Assault and abuse issues are important in our society today. During this short-term team’s work, we may be placed in positions of responsibility for children and other vulnerable members of society. We ask everyone who applies to answer the following questions:

Have you ever been convicted of a criminal offence (including any sexual related offence) for which a pardon has not been granted?

Yes

No

Invalid Input

If 'Yes', please explain

Invalid Input

Do you have any travel restrictions due to a criminal record?

Yes

No

Invalid Input

If 'Yes', please explain

Invalid Input

Have you ever been named in any investigation related to any kind of abuse involving vulnerable persons (i.e. children, elderly, disabled, etc.)?

Yes

No

Invalid Input

If 'Yes', please explain

Invalid Input

Have you ever been alleged to have emotionally, physically, or sexually abused someone?

Yes

No

Invalid Input

If 'Yes', please explain

Invalid Input

If over the age of majority, I hereby authorize TGIC | SWG to ask for a Criminal Records Check along with this application:

Your Story

A GO Trip experience is one of God's tools for developing personal and spiritual transformation. These questions are designed to help you reflect on your thoughts about God and your spiritual and personal journey. These questions help us to discern whether this is the best ministry opportunity for you at this time.

In a brief summary, describe your personal faith journey and how it has prepared you to participate in this GO Trip. Please include how your own values and beliefs align with the Vision, Mission and Values of the organization (Approx. 300 words or less).

Invalid Input

References

Professional/Character Reference- (Full Name)

Invalid Input

Email

Invalid Input

Relationship to you

Invalid Input

Telephone

Invalid Input

Pastoral Character Reference- (Full Name)

Invalid Input

Email

Invalid Input

Relationship to you

Invalid Input

Telephone

Invalid Input

Compliance with the Standard of Conduct of The Gideons International In Canada | ShareWord Global

I have prayerfully READ, BELIEVE AND ACCEPT the Standard of Conduct. I understand that The Gideons International In Canada | Shareword Global must examine this application and subsequent references, as it has the responsibility of guarding the standards of the association. I understand that my eligibility to participate on a GO Trip may be impacted by my lack of commitment and adherence to these standards and values.

Yes

No

Invalid Input

STATEMENT OF FAITH

We believe in one God eternally existing in three persons, God the Father, God the Son, God the Holy Spirit. We believe in the Bible as the inspired, infallible and inerrant Word of God in the original manuscripts.

We believe that man was created in the image of God; that he sinned, and thereby incurred, not only physical death, but also spiritual death which is separation from God; and that all human beings are born with a sinful nature and in the case of those who reach moral responsibility are sinners in thought, word and deed, and that all who believe in the Lord Jesus Christ are justified on the merit of His shed blood.

We believe in the Lord Jesus Christ as the eternal Son of God and that He was born of the virgin Mary and that He died for our sins according to the Scriptures, as a sole and sufficient substitutionary sacrifice; that He was buried and rose again the third day; that He ascended into heaven and that He now lives there for us, as our High Priest and only Advocate and that He will

personally come again; that our salvation is secured exclusively and completely by grace alone, through faith alone in Christ alone; and that we can neither add to nor subtract from Christ’s atoning work for us.

We believe in the bodily resurrection of the just and the unjust, and the eternal blessedness of the saved while the unsaved suffer eternal separation from God (Dan 12:1-2, Mk 9:42-48, Matt 18:6-9, 25:31-46, 2 Thess 1:5-10, Jude 7, Rev 14:9-11, 20:10, 14-15)

I have prayerfully READ, BELIEVE AND ACCEPT the Statement of Faith. I understand that The Gideons International In Canada | ShareWord Global must examine this application and subsequent references, as it has the responsibility of guarding the standards of the association. I understand that my eligibility to participate on a GO Trip may be impacted by my lack of commitment and adherence to these standards and values.

Yes

No

Invalid Input

Team Member Agreement

If I am selected for the team, I will make every effort to:
• Be other-centered, cooperative and submit personal desires and preferences (privacy, food, dress, etc.) to standards of the host
• Follow and adhere to the Standard of Conduct of TGIC | SWG, and all other policies and procedures as presented by my team leader(s)
• Be committed to fully complete pre-trip training requirements, debriefs and re-entry evaluations
• Be willing to represent the ministry of TGIC | SWG and advocate on behalf of the people we serve on the trip

I UNDERSTAND AND AGREE to the GO Team Covenant and Team Member Agreement.

Yes

No

Invalid Input

RETENTION OF INFORMATION AND APPLICANT PRIVACY POLICY

The Gideons International In Canada | ShareWord Global (TGIC | SWG), respects your privacy and takes every reasonable effort to protect your personal information. By filling in the designated fields below, you are authorizing TGIC | SWG, its designated representatives (i.e. volunteers), and its associated third-party providers to gather, disclose, use, and retain the information you have submitted in this application and any subsequent documentation obtained as a result of this application. This authorization will extend to all parties, for the purposes involved with determining and completing GO Trip member eligibility, preparation, travel, and any post trip ministry follow up requirements. Any applicant passport information will be retained by TGIC | SWG to the extent it is deemed necessary and/or valid. All other information the applicant provides during the course of the proceedings as outlined above will be securely retained for historical record keeping and used only for any mutually agreed upon pursuant TGIC | SWG related activity.

Any information released to and used by representatives of TGIC | SWG (i.e. trip leaders) and associated third parties will extend only to what is necessary to provide their services for the purposes of the GO Trip and will be governed by their agreements with TGIC | SWG.

If you have not already done so, please read over and review our organizational Privacy Policy as it is written:

If you do not authorize your information to be used as outlined in the aforementioned policy, please cease proceeding with this application and contact us with any resulting questions you may have.

Yes

No

Invalid Input

APPLICANT ACKNOWLEDGMENT, DISCLAIMER AND SIGNATURE

I AFFIRM that all information provided in this application is true and complete to the best of my knowledge. I agree that by typing both my first and last name and date below, I am signing this application (and its disclosed policies) entirely of my own free will. I understand that by not signing, I am willingly withdrawing my application at this time.

I understand that to falsify information is grounds for ineligibility to participate in a GO Trip, or for disqualification should I be accepted.

I authorize any person, organization or company listed on this application to furnish you any and all information concerning my character and qualifications for the purpose of determining my suitability to participate in the GO Trip. I also authorize you to request and receive such information.

In consideration of my acceptance for participation, I agree to abide by the standards and expectations of the TGIG|SWG (the association).

Invalid Input

More

Contact