On The Go - GoTeam Application

See the end of this application for information on what is needed in order to apply and qualify for a position on an On The Go short term GoTeam project in the USA or around the world. God bless you as you seek God's will for your life!

Project Location ______________________  Date of Project ___________________

Address ____________________________________________________________________________

City __________________________________ State/Province __________  Zip/Postal ____________

Phone (home)_____________________________  Phone (office) _____________________________

Email _____________________________________________________________________________

Spouse _______________________________  Spouse's Social Security _______________________

Children ___________________________________________________________________________

Any confidential matters or sensitive material will not be shared!  Fully explain the details and do

not worry about space. Use a separate sheet of paper if necessary.

Work (present)

Present Job _____________________________________   Phone _____________________________________

Years There _____________________________________  Supervisor _________________________________

Education  (List Schools & Area of Study)

Church Information

Church ___________________________________________________________________

Address ____________________________________________________________________________

City __________________________________ State/Province __________  Zip/Postal ____________

Phone _____________________________  Pastor _________________________________________

Do you have any experience with (check all that apply)

	prayer evangelism		drama		survey work		construction work		leading a team
	leading devotions		mime		photography		open air meetings		flannel graphs
	street preaching		puppets		chalk talks		singing in a group		door to door ministry
	ventriloquism		typing		radio/tv		youth worker		solo (type) ________________
	fundraising		teaching		art/drawing		computers		musical instrument __________
	childrens ministry		clowning		youth work		counselor training		medical/dental work

Local Church Position (check all that apply)

Mission Experience

PASSPORT & HEALTH INFORMATION

Do you have a passport? Y[ ] N[ ], Date of Issue____,____,_____

Expiration ____,____,____  Place of Issuance ________________________

Passport Number _________________________ Name on Passport _____________________________

Do you have a drivers license? Y[ ] N[ ]

Date Issued ____,____,____ Expiration ____,____,_____ State _______________

Driver's Insurance Company and Policy Number ________________________ #____________________

Your Birthplace ______________________ SpouseS Birthplace _____________________

Father's Full Name _________ __ __________ Place of Birth ________________

Mother's Full Name _________ __ __________ Place of Birth ________________

Spouse's Father _________ __ __________ Place of Birth ________________

Spouse's Mother _________ __ __________ Place of Birth ________________

Have you previously been married or have children from previous marriages? Y[ ] N[ ] Information___________________________________________________________________________

Have you traveled overseas before? Y[ ]N[ ]

Where? / When? / Purpose?: ______________________________________________________________

Date of Last Physical? ___ / ___ / ___

Insurance Company and Policy Number _________________________ #__________________________

Family Doctor ______________________________ Phone # ______ ______ _____________________

Do you have an International Certificate of Vaccination? Y[ ]N[ ] , What shots and dates of listing?

_______________ __,__,__   ________________ __,__,__  ________________ __,__,__

_______________ __,__,__   ________________ __,__,__  ________________ __,__,__

Height ____ Weight _____ Glasses Y[ ] N[ ], Contacts Y[ ] N[ ], Hair Color _________ , Eyes _________

Are you Allergic to any medical drugs? Y[ ] N[ ], List _________________________________________

Special dietary needs: __________________________________________________________________

Any physical handicaps, Medical Conditions or Limitations? Y[ ] N[ ]

Diabetes Y[ ] N[ ], Heart Trouble Y[ ] N[ ], Seizures Y[ ] N[ ], Allergies Y[ ] N[ ], Asthma Y[ ] N[ ]

List ________________________________________________________________________________

Explain______________________________________________________________________________

Are you taking any medication now? Y[ ] N[ ]

List _______________________________________________________

Explain ____________________________________________________

Disclaimer and Release

This release covers all accidents and injuries and all their effects and results, whether developed or underdeveloped, and all expenses of every nature. On The Go Ministries shall not be liable for damages of any sort, including but not limited to those arising from personal accidents, injuries, or illnesses, sustained by the undersigned person or any other person by, during, or arising from day to day ministry activities or ministry trips. Trips and ministries such as the present ones may have attendant risks. The undersigned fully recognize and assume any such risks and further agree to hold harmless On The Go Ministries from any such risk or injury.

The undersigned have read and understand the afore-mentioned statements and agreements.

___________________________ _________________

SIGNATURE OF APPLICANT          DATE

___________________________ _________________

IF UNDER EIGHTEEN (18),             DATE

SIGNATURE OF PARENT/GUARDIAN NOTARY

Permission to Transport and Protect

On The Go and their designated representative has permission to transport _________________ between the dates of _____________ to ______________. They also have my permission to provide medical and emergency assistance, surgery, doctors care or treatment in any medical clinic or hospital they deem necessary. We understand that they will make every effort to contact us concerning any such actions.

___________________________ _________________

IF UNDER EIGHTEEN (18),              DATE

SIGNATURE OF PARENT/GUARDIAN NOTARY

On The Go Pledge of Integrity

I have read and agree with On The Go's goals, vision, purpose, and beliefs. I have read On The Go's policies and agree to abide by their policies and procedures if selected to serve with them!

I will abstain from the use of Alcohol, Drugs and all Tobacco Products. I will dress and speak with language that will not cause other Christians to stumble or draw attention to myself. I will also conduct myself in a way that honors Christ in my dating life

( if single) and family relationships ( if married).

___________________________ _________________

SIGNATURE                             DATE

Application Process

1. Fill Out Application (This form)
2. Have pastor or youth director fill out pastor's referral form
3. Have your two references fill out reference forms (they should mail these to our office)
4. Fill out testimony form
5. Enclose $25 application fee
6. Send application, testimony and application fee to our Team Office
7. Pray for God's will

Once you have been approved for a GoTeam Project you will receive: The On The Go Team Handbook, Detailed Project Information, Training Materials, Fundraising Helps and Suggestions, Prayer and Church Participation Materials, and much more. If you need help or have questions please call or email our office. Early acceptance is important for proper planning. So apply as soon as possible.