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About Impact
Growth
Adventure
Costs
About us
Enquiry
Our Partners
application
have questions?
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
No
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.
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)
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.
