Partner With Us Mission Partnership Application Please complete the form below and we’ll get back to you as soon as we can. Personal Details Full Name Identification / Passport No Your Photo Home Address Email Address Sex ---MaleFemale Tel (Home) Tel (Work) Mobile No Date of Birth Age Nationality Occupation Marital Status ---SingleMarriedWidowed Spouse's Name Tel / HP Health Information Any criminal record with the police? NoYes Any medical conditions or allergies? Are you currently taking any medication prescribed by a doctor? NoYes If yes, please specify Had a stroke before? (When?) Had a heart attack before? (When?) Emergency Contact Name Relationship Address Tel (Home) Tel (Work) Mobile No Personal Testimony - Training & Education Training Education Are you currently attending any Church? Church Name Pastor Church Address How long have you been attending this church? Previous church? Pastoral / Elder Reference Please provide a reference from your Pastor or Elder. Name Church Position Mobile No Email Address Ministry Experience Briefly describe your church ministry you are involved in and at what capacity, together with past ministry experience. Position & Year Brief Description Position & Year Brief Description Position & Year Brief Description Position & Year Brief Description Position & Year Brief Description I agree that: I will partner with GFA to train and teach according to GFA specified leadership programme or programme earlier agreed upon by GFA. I will not hold GFA responsible for any loss or injury suffered in the mission field. I will indemnify GFA for any loss or damage resulting from any loss to GFA due to my negligence on GFA mission trips. I have read and understand all the information here as a Memorandum of Understanding between GoForthAsia and myself. Name Date