Long Term Partnership Request
External
General Information
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Sending Church
What is the name of your sending church?
What is their website?
Contact Person (preferably an elder):
First Name
Last Name
Contact Person's Email
example@example.com
Contact Person's Phone Number
Please enter a valid phone number.
What is the church's network and or denominational affiliation?
How long have you been a member at your sending church?
What is your involvement and role with the church? (i.e. elder, staff, member, group leader, etc.)
Missions Questions
In which role are you planning to serve?
Please Select
Lead Missionary
Lead Planter
Team Member
What kind of training have you received to prepare you?
What is the name of the sending agency you are working with?
Please provide a link to their website (if available):
Have you served with this organization before?
Please Select
Yes
No
How did you get connected with this organization?
How does your sending organization prepare you for this trip beforehand?
How does your sending organization support you while you’re there?
Do you agree with and submit to discipling others in accordance with our Statement of Faith (see below)?
Yes
No
I have some questions
Statement of Faith
Submit
Should be Empty: