Online Application

Name

Surname

Date of Birth

Gender Gender Male Female

Nationality

ID/Passport (if applicable)

Email Address

Telephone Number

Physical Address

Postal Address

Parent/Guardian's Full Name

Parent/Guardian's Telephone Number

Parent/Guardian's Work Phone Number

Parent/Guardian's Email Address

Parent/Guardian's Address (if different from above)

Name of school/university

Town of school/university

Last Grade/Qualification Last Grade/QualificationGrade 7Grade 8Grade 9Grade 10Grade 11Grade 12CertificateDiplomaBachelor's DegreeHonour's DegreePostgraduate DiplomaMaster's DegreeDoctoral Degree

Interests/Skills/Abilities

What languages do you speak fluently?

Known Allergies

Medical Concerns

How did you hear about TMN?

T-shirt Size T-shirt SizeExtra SmallSmallMediumLargeExtra Large

Transport to Boot Camp Transport to Boot Camp I will need transport from Windhoek to Boot Camp. I will arrange my own transport to Boot Camp.

Name of your present church

Denomination

Pastor's Name

Pastor's phone number

Pastor's email address

Please give the names and phone numbers of at least two people we may contact for a reference (not a close family member). Please give the names and phone numbers of at least two people we may contact for a reference (not a close family member).

Reference's Name

Reference's relationship to you

Reference's phone number

Reference's Name

Reference's relationship to you

Reference's phone number

Autobiographical Essay/Video: Please write an autobiographical essay of at least 400 words in which you discuss or describe the following: 1) How and when you came to follow Jesus, 2) Why you are applying for TMN, 3) Church background. Autobiographical Essay/Video: Please write an autobiographical essay of at least 400 words in which you discuss or describe the following: 1) How and when you came to follow Jesus, 2) Why you are applying for TMN, 3) Church background. I will submit my essay as a video on WhatsApp.

Autobiographical Essay

I declare that, to the best of my knowledge, all the particulars supplied by me in this form are true, complete and correct. I understand that submission of this application does not guarantee my acceptance as a participant. If I am offered a place at Teen Mission Namibia: 1) I agree to familiarize myself with and abide by all the rules and regulations applicable to the trip for which I am enrolling, including the disciplinary procedures. 2) I have read and agree to operate and abide by the SIM Statement of Faith. 3) I accept the responsibility of raising the total support requirement of N$450 (support-raising training will be provided). Failure to pay the full support amount may result in removal from the team. 4) I will allow photographs and/or media of me to be used on TMN's social media platforms where the purpose is to advertise TMN's services. I declare that, to the best of my knowledge, all the particulars supplied by me in this form are true, complete and correct. I understand that submission of this application does not guarantee my acceptance as a participant. If I am offered a place at Teen Mission Namibia: 1) I agree to familiarize myself with and abide by all the rules and regulations applicable to the trip for which I am enrolling, including the disciplinary procedures. 2) I have read and agree to operate and abide by the SIM Statement of Faith. 3) I accept the responsibility of raising the total support requirement of N$450 (support-raising training will be provided). Failure to pay the full support amount may result in removal from the team. 4) I will allow photographs and/or media of me to be used on TMN's social media platforms where the purpose is to advertise TMN's services. I agree.