SOLMM Africa ApplicationPlease fill out this form to apply for the School of Local Ministry Mobilization (SOLMM) and we will be in touch with you shortly.Personal InformationPlease fill in the information below.1. Name* First Last 2. Phone Number with Country Code*3. Email* 4, Gender:* Male Female5. Age:*6. Marital Status* Single Married Separated Divorced WidowedAre you in a relationship?* Yes NoHow long have you been married?*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?* Strong Okay StrugglingPlease choose the word that most aptly describes your marriage right now.Do you have children?*NoYesHow many children do you have?*When did you separate?*Please indicate the month and year.Reason for Separation:*Please give a brief statement.When did you get divorced?*Please indicate the month and year.Reason for Divorce:*Please give a brief statement.Where do you live?*EthiopiaOther country in AfricaOutside AfricaPassport Information7. Nationality:*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwePassport Number*Passport Date of Expiration*dd/mm/yyyyCopy of Passport Picture Page:*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.Does your passport expire in less than six-months from the end of the Great Commission Mobilization School?* Yes NoPlease apply for a new passport. We will only process your application after you apply for a new passport.COVID-19 Vaccine InformationTo enter Nigeria, each participant must be fully vaccinated.8. Have you received a COVID-19 vaccination?* Yes No, and I don't plan to. No, but I am planning to get one.Which COVID-19 vaccination have you received?*NonePfizerModernaSinovacSinopharmJohnson & JohnsonAstraZenecaSputnik VCovaxinOtherHow many doses have you received?* 1 dose 2 doses NoneVaccination Certificate:*Max. file size: 10 MB.Please upload a photo of your vaccination certificate. If you do not have one, please upload a picture of a note that says you do not have a vaccination certificate.Additional Vaccine InformationHealth officials recommend all travelers to get vaccinated against Cholera and Yellow Fever. Anti-malaria prophylactic medication is also advised.9. Have you received a CHOLERA vaccination?* Yes No, and I don't plan to. No, but I am planning to get one.10. Have you received a YELLOW FEVER vaccination?* Yes No, and I don't plan to. No, but I am planning to get one.Emergency Contact Information11. Emergency Contact Person Name:*Relationship to Emergency Contact:*SpouseParentSiblingOther RelativeEmergency Contact Phone Number (with country code):*ReferencesPlease 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 active12. Mentor Reference:*This person should be a spiritual leader over you or in a mentoring relationship.How long have you known this leader/mentor?*Please write the number of years.Email address for Mentor Reference:* Enter Email Confirm Email Reference request form will be sent to this email13. Peer or Colleague Reference:*This person should be someone you know very well.How long have you known this peer/colleague?*Please write the number of years.Email address for Peer/Colleague Reference:* Enter Email Confirm Email Reference request form will be sent to this emailMinistry Experience14. Organization:*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:* Pastor Church Leader 16. Years of Ministry Experience:*17. Please tell us about your current ministry situation.*Minimum 250 Words18. How do you see this training benefiting your ministry in the future?*Minimum 250 Words19. Cross Cultural Experience*Countries VisitedLength of StayReason for Travel To add more countries or travel experiences, please click the "plus" button at the end of the line of boxes.Personal Information20. Please describe what your home/family life is like.*At least 250 words21. Do you have a criminal history?* Yes NoPlease explain.*Program Information22. How did you hear about this program* Email from GMMI (Formerly SVM2) GMMI (Formerly SVM2) website Friend A ministry other than GMMI (Formerly SVM2) GCMS AlumniPlease check all that apply.23. How do you intend to pay for the program cost?* Church or ministry sponsorship Friends or family sponsorship Personal savings or self-sponsorship Fundraisers OtherPlease check all that applyWould you like to be considered for a partial scholarship?* Yes NoThis field is hidden when viewing the formAre you interested in taking this program for Master's levels credits through Asia Pacific Theological Seminary? Yes NoNote: Additional coursework and costs for Master's level creditsI 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.* Yes NoPlease check all of the information in the form before you respond to this questionVISACitizens 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 SudanA 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 No25. Are you able to get a visa on arrival to come to Ethiopia?* Yes No26. Where is the closest Ethiopian Embassy or Consulate from your location?*Please write the name of the City and CountryΔ
