LightForce International Application Form

(Mr/Mrs/Miss/Ms)

Name

Address

Postcode

Country

Tel (Day)

Tel (Evening)

Email Address

Which trip do you want to go on? Which trip do you want to go on?Lira UgandaMasaka UgandaIndiaMKCC 40 India March 19MKCC 40 India October 19MKCC 40 Uganda November 19MKCC 40 Uganda Easter 2020

Date From

Date To

Are these dates flexible? Are these dates flexible? Yes No

Travelling as part of a group or with someone else? Travelling as part of a group or with someone else? Yes No

If Yes, please give the name(s) of the other(s)

Personal Details Personal Details

Nationality

D.O.B.

Marital Status

Dependants

Occupation

Passport Number

Passport Issue Date

Passport Expiry Date

Which of the following best describes you Which of the following best describes youCommitted ChristianChurch AttenderSympathetic

Name & Address of Church Leader

Tel No

Do you hold a full driving licence? Do you hold a full driving licence? Yes No

If Yes If Yes HGV PSV Car

Do you Suffer from any physical or mental disability or take prescribed drugs? Do you Suffer from any physical or mental disability or take prescribed drugs? Yes No

If yes, give details

Do you Smoke? Do you Smoke? Yes No

Do you suffer from any eating disorders or have done so in the past? Do you suffer from any eating disorders or have done so in the past? Yes No

If yes, give details

Do you have any special dietary needs? Do you have any special dietary needs? Yes No

If yes, give details

Have you ever been accused or charged with any criminal offence against children? Have you ever been accused or charged with any criminal offence against children? Yes No

If yes, give details

Contact in case of emergency: NB ensure that this is someone who will be available at the time you are away! Contact in case of emergency: NB ensure that this is someone who will be available at the time you are away!

Name

Tel No

Address

How did you hear about LightForce?

PLEASE EMAIL THE FOLLOWING TO missions@lightforce.org.uk IN SUPPORT OF YOUR APPLICATION : PLEASE EMAIL THE FOLLOWING TO missions@lightforce.org.uk IN SUPPORT OF YOUR APPLICATION : - Supporting letters from 2 Referees (one of which should be your Church leader, if applicable) - Details about yourself (your abilities, skills and what you hope to achieve through working with us) - 2 recent passport photographs

Click here to agree Click here to agree By Ticking the box you accept that I will undertake to work as part of a team under the direction of LightForce leadership. I accept that LightForce will require me to undergo a DBS Check or application and my acceptance is dependent on the information disclosed.

LightForce International is committed to the protection of your data and will never share it with a 3rd party. To facilitate your volunteering with us, we will need to be able to contact you via email and/ or phone. We also send monthly updates to our donors and interested parties, keeping them up to date with the work we are doing. To comply with GDPR legislation please indicate below LightForce International is committed to the protection of your data and will never share it with a 3rd party. To facilitate your volunteering with us, we will need to be able to contact you via email and/ or phone. We also send monthly updates to our donors and interested parties, keeping them up to date with the work we are doing. To comply with GDPR legislation please indicate below I consent to receive notifications and communication by email and/ or phone in relation to my volunteering with LightForce International. I consent to receive monthly updates from LightForce International by email (you can unsubscribe at any time).