School of Mobilization Theology ApplicationPlease fill out this form to apply for the School of Mobilization Theology (SOMT) 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.Passport 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 School of Mobilization Theology?* Yes NoPlease apply for a new passport. We will only process your application after you apply for a new passport.Emergency Contact Information9. 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 active10. 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 email11. 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 Experience12. 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.13. Role or Position:* Pastor Church Leader 14. Years of Ministry Experience:*15. Please tell us about your current ministry situation.*Minimum 250 Words16. How do you see this training benefiting your ministry in the future?*Minimum 250 Words17. 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 Information18. Please describe what your home/family life is like.*At least 250 words19. Do you have a criminal history?* Yes NoPlease explain.*Program Information20. 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.21. 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 questionVisa22. Are you able to get a tourist visa to come to Thailand?* Yes NoA 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.23. Where is the closest Thai Embassy or Consulate from your location?*Please write the name of the City and CountryΔ
