Application Form
Please complete this form if you are applying for the Overseas Mission Travel Grant either as an individual or leader in charge of a PCI congregational team. Read the applicant information below carefully and complete the relevant sections of the form. Any queries email clw@presbyterianireland.org.
Type of application
Please provide details if you are applying as an individual (you must be age 18 - 25 at time of travel) or leader in charge of a PCI congregational team.
Type of Application
*
INDIVIDUAL
PCI CONGREGATIONAL TEAM
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Individual Applicant Details
Please provide your details below. As per the application criteria individuals can only receive funding through the Overseas Mission Travel Grant once. If you have previously received funding through the Grant please do not reapply.
Have you received an Overseas Mission Grant through the PCI Concorde Fund before?
*
Yes
No
Name
*
First Name
Last Name
Age at time of departure
*
Please Select
18
19
20
21
22
23
24
25
Address
*
Address 1
Address Line 2
City
County
Postal / Eir Code
Email
*
example@example.com
Phone Number
*
Occupation
*
Please put student if in full time education
Place of work/study
*
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PCI Congregational Team Application Details
Please provide your details as leader in charge of the team below:
Name
*
First Name
Last Name
Position
*
e.g. Team leader/group leader in charge
Address
*
Address 1
Address Line 2
City
County
Postal / Eir Code
Email
*
example@example.com
Phone Number
*
Team Member Details
If any individual team members have previously received a PCI Overseas Mission Travel Grant they are ineligible to apply again and be listed below.
Team Member Details
*
Rows
Name
Age
Have you received a grant before
1
Yes
No
2
Yes
No
3
Yes
No
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Trip Details
Please provide details of your overseas mission trip (which must be outside of the British Isles and Ireland). Please note funding is not available to help towards university electives, work experience placements, conference or events or Bible college training.
What destination/country will you be visiting?
*
Proposed outward date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Proposed return date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Duration of trip
*
Please let us know how many days you will be away.
What is the estimated cost of your trip?
*
Which church and/or mission agency will you be serving with?
*
Please note funding is not available to help towards university electives, work experience placements, conferences, events or Bible college training.
What activities will you be involved in during the trip?
*
0/50
Why have you chosen to take this trip?
*
0/100
How do you hope this experience will shape your involvement in mission when you return to your local congregation?
*
0/100
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Congregational Support:
Tell us a little about your PCI home church.
Please let us know your congregation.
*
Please let us know the name of your minister.
*
Is your congregation aware of your plans?
*
Yes
No
Is your congregation providing you with support?
*
Yes
No
If you have answered 'yes' above, please specify what level of support you are receiving including any financial assistance.
Please provide some details on how you/your team are involved and serve in your congregation.
*
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Next steps
If your application is shortlisted for funding, we will be in touch to arrange a short online interview with you. Please confirm the details below.
I acknowledge that if my application is shortlisted I will need to make myself available to take part in a short follow up online interview to review my application.
*
Yes
I confirm that if my application is successful I will need to complete a post trip feedback form within 6 weeks of my return date.
*
Yes
Bank/ Building Society Details:
To allow us to transfer any grant awarded directly into your account, please provide the following information.
I agree that any grant awarded will be used solely for the purposes of funding this overseas mission trip.
*
Yes
FOR INDIVIDUAL APPLICATIONS - Account Holder's Name
FOR PCI CONGREGATIONAL TEAMS - Please provide your Congregation Account Name
Account Number
*
Sort code
*
Please sign.
*
Date of application
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Thank you!
Thank you for taking the time to complete this application form. We will be in touch to acknowledge that your application has been received and with next steps.
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