Prescreening Application
INTERNATIONAL VISISTORS 

Event Date: December 2nd - 8th, 2024 
Event Address: 200 Sanford Avenue North, Hamilton, Ontario, Canada
Contact us at (289) 775-2119 / (289) 389 -2308

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Email *
Full name including middle Name as it appears on your ID.  *
Date of Birth *
MM
/
DD
/
YYYY
Gender  *
Profession/Occupation *
Address *
Country of Residence *
Phone number *
Do you have any medical conditions or Dietary restrictions that we should know about? *
Marital status  *
If married, please provide the full name of your spouse. 
How many children do you have?  *
Highest Level of Education *
What is your faith or Belief?  *
If Christian please provide your denomination, the name of your church and the name of your pastor. *
Are you born again and if so please provide the month and the year.  *
What is your role in your local assembly/church? *
Do you have a criminal record  *
Required
Have you ever been deported or denied Visa to any country? if please explain *
Do you need a visa to attend this event? *
Required
How did you hear about the International Gathering of Champions?  *
Why do you want to come to the International Gathering of Champions?  *
Do you intend to come alone or accompanied? (If you will be accompanied, please ask each of those with you to also submit this questionnaire, indicating in the comments section that they intend to come with you) *
Required
Which day will you be attending. Please select all that apply.  *
Required
Will you require accommodation at the Tom Tirivangani Estate?  *
If you answered No to requiring accommodation please provide the address where you will be staying.  
Will you require Transportation to and from the events? *
Please provide 3 references (full name, address and phone number)  *
A copy of your responses will be emailed to the address you provided.
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