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Application Form:

Surname (Mr,Mrs, Miss) ___________________________________________________________

First Name ________________________________ Date of Birth __________________________

Address ________________________________________________________________________

_______________________________________________________________________________

Postcode _______________________

Telephone _________________________________ Mobile________________________________

Email __________________________________________________________________________

Occupation/Studying ______________________________________________________________

I am a member of (Church) _________________________________________________________

Team Applied For _________________________________________________________________

Dates From _______________________________ To ___________________________________

Have you any health or dietary problems? (Please give details)

________________________________________________________________________________

Which musical instrument do you play? _______________________________________________

Which languages do you speak? _____________________________________________________

INSURANCE: If you want GLO to arrange this, please enclose your fee £ __________

AIR TRAVEL: If you want GLO to arrange this, please enclose £50 deposit £ ________

Please note: all team costs (as stated on the 'Team Programme' page) are to be paid to the team leader on the arrival at the team.

PERSONAL DECLARATION: I confirm that I am a born-again Christian and committed to sharing the Gospel of Jesus Christ with others.

After prayerful consideration I apply to join the GLO Team as indicated:

SIGNED __________________________________ DATE __________________________________

For Completion By Church Elder/Secretary

On behalf of the local church I am happy to commend the above named person to be involved
in a GLO Outreach Team.

Name ___________________________________________________________________________

Address _________________________________________________________________________

________________________________________________________________________________

Postcode ________________________ Telephone ______________________________________

SIGNED _____________________________

DATE _______________________________