Application - One By One

Please fill out this form and we will get in touch shortly.
Name (as it appears on passport):*
Gender
Address*
Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country
DOB*

Day
Month
Year
Tel:*
Email*
Trip applying for:*

Is your passport in date at least six months past the return date of the trip?*
- Yes
- No
If no, do you commit to renewing your passport?*
- Yes
- No
Passport Number:*
Country of issue:*
Date of issue:*
Date of expiry:*
Please upload a copy of the photo page of your passport:*
Max. file size: 30 MB.

Emergency contact name:*
Emergency contact address*
Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country
Emergency contact telephone:*
Emergency contact email*
Please name any medical problems we should be aware of:*
Please name any regular medication you take:*
Please name any special dietary requirements:*
Please name any allergies:*

This trip has been made available by One By One, registered charity (1145034) and nonprofit. We trust that while you are on the mission trip that you represent Christ and your church well and we ask that you follow the direction of your leader.
If you are over 16 you will be required to get a DBS or background check One By One, in consultation with the local church leadership of the applicant and with advisory bodies such as CCPAS, reserves the right to not accept and individual onto one of its Mission Trips. Please note, therefore, that the submission of an Application Form and the payment of the non-refundable deposit does not guarantee acceptance onto the team.

Disclaimer:

When visiting Africa there are several risks involved, as there would be with any foreign travel. This includes losing baggage during transit, flight delays and also health risks. We strongly recommend seeking medical advice before coming on the trip to ensure you have all the necessary vaccinations and malaria tablets. One By One is not liable for any of these risks and therefore upon signing this application form the applicant is accepting all responsibility for their health and personal belongings.
*
- By ticking this box, you agree that One By One is not liable for any of these risks and you accept responsibility for your own health and personal belongings.

UK Address

USA Address

Email Address
admin@onebyone.net

Application Form