Global mobilization institute application

Global Mobilization Institute Application

Step 1 of 15

PERSONAL INFORMATION

Please fill in the information below.

1. Name(Required)

First Last

2. Email Address(Required)

3. Phone Number with Country Code(Required)

4. Gender(Required)

Male

Female

5. Age(Required)

6. Marital Status(Required)

Single

Married

Separated

Divorced

Widowed

Are you in a relationship?(Required)

Yes

How long have you been married?(Required)

Please indicate the number of years. If you have been married less than a year, please write months after the number.

How would you describe your marriage?(Required)

Strong

Okay

Struggling

Please choose the word that most aptly describes your marriage right now.

Do you have children?(Required)

How many children do you have?(Required)

When did you separate?(Required)

Please indicate the month and year.

Reason for Separation(Required)

Please give a brief statement

When did you get divorced?(Required)

Reason for Divorce:(Required)

Please give a brief statement.

7. Please describe what your home/family life is like.(Required)

At least 250 words

8. Do you have a criminal history?(Required)

Yes

Please explain.(Required)

Please choose a single answer to each of the following questions:

1. What Type of Ministry Leader Are You?(Required)

(Required)

Please choose a single answer to each of the following questions:

2. What Is Your Role In Your Local Ministry?(Required)

Please choose a single answer to each of the following questions:

3. What Region of the World Do You Live?(Required)

Nationality(Required)

Please choose a single answer to each of the following questions:

4. What Kind of Training Are You Looking For?(Required)

Please choose a single answer to each of the following questions:

5. What Outcome Are You Looking For Through This Training?(Required)

Please choose a single answer to each of the following questions:

6. What Is Your Level of English Proficiency?(Required)

Please choose a single answer to each of the following questions:

7. What is Your Education Level?(Required)

Please choose a single answer to each of the following questions:

8. Where would you like to attend a training?(Required)

REFERENCES

Please fill in the appropriate information below. A reference request form will be sent to them. Note: Please make sure the email address you have provided for your reference is accurate and active

9. Mentor Reference:(Required)

This person should be a spiritual leader over you or in a mentoring relationship.

How long have you known this leader/mentor?(Required)

Please write the number of years.

Email address for Mentor Reference:(Required)

Enter Email Confirm Email

Reference request form will be sent to this email

10. Peer or Colleague Reference:(Required)

This person should be someone you know very well.

How long have you known this peer/colleague?(Required)

Please write the number of years.

Email address for Peer/Colleague Reference:(Required)

Enter Email Confirm Email

Reference request form will be sent to this email

EMERGENCY CONTACT INFORMATION

11. Emergency Contact Person Name:(Required)

Relationship to Emergency Contact:(Required)

Emergency Contact Phone Number (with country code)(Required)

MINISTRY EXPERIENCE

12. Organization:(Required)

Please write the organization, ministry or church with whom you serve. If you are not currently serving in the ministry, please write the church you currently attend.

13. Role or Position:(Required)

Pastor

Church Leader

Other

14. Years of Ministry Experience:(Required)

15. Please tell us about your current ministry situation.(Required)

Minimum 250 Words

16. How do you see this training benefiting your ministry in the future?(Required)

Minimum 250 Words

17. Cross Cultural Experience

Countries Visited

Length of Stay

Reason for Travel

To add more countries or travel experiences, please click the “plus” button at the end of the line of boxes.

PROGRAM INFORMATION

18. How did you hear about this program(Required)

Email from GMMI (Formerly SVM2)

GMMI (Formerly SVM2) website

Friend

A ministry other than GMMI (Formerly SVM2)

Alumni

Please check all that apply.

19. How do you intend to pay for the program cost?(Required)

Church or ministry sponsorship

Friends or family sponsorship

Personal savings or self-sponsorship

Fundraisers

Other

Please check all that apply

Would you like to be considered for a partial scholarship?(Required)

Yes

I certify that I have filled out this form on my own without any help from another person, and I also certify that all the information that I have provided is accurate.(Required)

Yes

Please check all of the information in the form before you respond to this question

PASSPORT INFORMATION

20. Passport Number(Required)

Passport Date of Expiration(Required)

dd/mm/yyyy

Copy of Passport Picture page(Required)

Max. file size: 10 MB.

Please upload a copy of your passport page as a jpg or pdf. You can easily take a picture of your passport page and upload the picture.

VISA

21. Are you able to get a tourist visa to come to Thailand?(Required)

Yes

A tourist visa could either be acquired by applying at your local Thai Embassy or Consulate, or you can get an On-Arrival tourist visa. You will need to research the availability in your country.

22. Where is the closest Thai Embassy or Consulate from your location?(Required)

Please write the name of the City and Country

VACCINE INFORMATION

Health officials recommend all travelers to get vaccinated against Cholera and Yellow Fever. Anti-malaria prophylactic medication is also advised.

11. Have you received a CHOLERA vaccination?(Required)

Yes

No, and I don’t plan to.

No, but I am planning to get one.

12. Have you received a YELLOW FEVER vaccination?(Required)

Yes

No, and I don’t plan to.

No, but I am planning to get one.

EMERGENCY CONTACT INFORMATION

13. Emergency Contact Person Name:(Required)

Relationship to Emergency Contact:(Required)

Emergency Contact Phone Number (with country code):(Required)

MINISTRY EXPERIENCE

14. Organization:(Required)

Please write the organization, ministry or church with whom you serve. If you are not currently serving in the ministry, please write the church you currently attend.

15. Role or Position:(Required)

Pastor

Church Leader

Other

16. Years of Ministry Experience:(Required)

17. Please tell us about your current ministry situation.(Required)

Minimum 250 Words

18. How do you see this training benefiting your ministry in the future?(Required)

Minimum 250 Words

19. Cross Cultural Experience

Countries Visited

Length of Stay

Reason for Travel

To add more countries or travel experiences, please click the “plus” button at the end of the line of boxes.

PROGRAM INFORMATION

20. How did you hear about this program(Required)

Email from GMMI (Formerly SVM2)

GMMI (Formerly SVM2) website

Friend

A ministry other than GMMI (Formerly SVM2)

Alumni

Please check all that apply.

21. How do you intend to pay for the program cost?(Required)

Church or ministry sponsorship

Friends or family sponsorship

Personal savings or self-sponsorship

Fundraisers

Other

Please check all that apply

Would you like to be considered for a partial scholarship?(Required)

Yes

I certify that I have filled out this form on my own without any help from another person, and I also certify that all the information that I have provided is accurate.(Required)

Yes

Please check all of the information in the form before you respond to this question

PASSPORT INFORMATION

22. Passport Number(Required)

23. Passport Date of Expiration(Required)

dd/mm/yyyy

Copy of Passport Picture Page(Required)

Max. file size: 10 MB.

Please upload a copy of your passport page as a jpg or pdf. You can easily take a picture of your passport page and upload the picture.

VISA

Citizens of the Economic Community of West African States (ECOWAS) who do not need a visa to enter Ghana. Benin, Burkina Faso, Cape Verde, Ghana, Gambia, Guinea, Guinea-Bissau, Ivory Coast, Liberia, Mali, Niger, Senegal, Sierra Leone, and Togo.

You will need to research the availability of a tourist visa in your country.

24. Are you able to get a tourist visa to come to Ghana??(Required)

Yes

25. Are you able to get a visa on arrival to come to Ghana?(Required)

Yes

26. Where is the closest Ghanian Embassy or Consulate from your location?(Required)

Please write the name of the City and Country

PASSPORT INFORMATION

22. Passport Number(Required)

23. Passport Date of Expiration(Required)

dd/mm/yyyy

Copy of Passport Picture Page(Required)

Max. file size: 10 MB.

Please upload a copy of your passport page as a jpg or pdf. You can easily take a picture of your passport page and upload the picture.

VISA

Citizens of the East Africa Community (EAC) who do not need a visa to enter Ethiopia. Kenya, Uganda, Tanzania, Rwanda, Burundi, Democratic Republic of Congo, Somalia and South Sudan

A tourist visa could either be acquired by applying at Ethiopian Embassy or Consulate, or you can get a visa on arrival. You will need to research the availability in your country.

24. Are you able to get a tourist visa to come to Ethiopia?

Yes

25. Are you able to get a visa on arrival to come to Ethiopia?

Yes

26. Where is the closest Ethiopian Embassy or Consulate from your location?

Please write the name of the City and Country