Adventure Additional info – IMPACT Young Adults

IMPACT Adventure Additional Info

Full Name(Required)

Document Upload

Please upload the relevant documents here. If you need templates for any of the forms, please let the IMPACT team know.

Passport Front Page(Required)

Max. file size: 256 MB.

Medical Clearance(Required)

Max. file size: 256 MB.

Creating Safe Spaces (or equivalent) Certificate(Required)

Max. file size: 256 MB.

Child Protection Self Declaration Form

Max. file size: 256 MB.

I have already provided my Working With Children Check (or other state equivalent)(Required)

Yes

Working With Children Check Number(Required)

Expiry date(Required)

Insurance(Required)

I have pre-existing medical conditions that may affect travel and/or require continued treatment while travelling

We will be insured through Baptist Mission Australia. Please advise us if you have any medical conditions that might impact our travel insurance so that we can ensure you are appropriately covered.

I have a current first aid certificate

Yes

More About You

What previous intercultural experience do you have?(Required)

What does it mean to you to share your faith? How might this change in an intercultural context?(Required)

What do you hope to learn from this trip?(Required)

What is your understanding and experience of working in a team?(Required)

What are your challenges or vulnerabilities?(Required)

What concerns/fears/hesitations do you have about this trip?(Required)

Is there anything else you would like us to know about you?(Required)

References

We will contact your pastor for a reference check. Please provide details of one more person who knows you well (not family) and can act as a second reference.

Name

Relationship to you

Email address

Phone number

Agreement(Required)

I agree

By checking this box, you agree to IMPACT sharing this form with the Baptist Mission Australia team to help them plan our trip.