Ministry Request Form
General Information
Full Name (person filling out form)
*
First Name
Last Name
E-mail
*
WhatsApp/Cell Phone Number
Is there someone else who is the contact person?
*
Yes
No
Contact Person's Name
First Name
Last Name
E-mail of Contact Person
example@example.com
WhatsApp/Cell Phone Number
*
Purpose of Ministry
*
Ministry Dates
*
Do you have exact dates & time you would like team to arrive in country?
*
Yes
No
Approximate date & time you would like team to arrive in country
Exact date you would like team to arrive in country
-
Month
-
Day
Year
Date Picker Icon
Time of arrival
1
2
3
4
5
6
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8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
City & Country you would like team to fly into (first choice)
*
City & Country you would like team to fly into (second choice)
*
Do you have exact dates & time you would like team to return to North America?
*
Yes
No
Approximate date & time you would like team to return to North America
Exact date you would like team to return to North America
-
Month
-
Day
Year
Date Picker Icon
Time to return
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Back
Next
Country Location
*
Please Select
Canada
China
Czech Republic
Cyprus
Egypt
France
Germany
Hungary
Jordan
Lebanon
Nepal
Peru
Poland
Romania
Russia
Slovakia
South Africa
Syria
Turkey
Uganda
Ukraine
United States
Facility Location & Exact Address (and a web link if possible)
*
All IM Staff who will be involved in this ministry
*
Target Audience of this outreach (include age range)
*
Number of campers/attendees expected
*
Ideal size of recruited North American team
*
Description of ministry/work to be done by recruited team
*
Churches and individuals you have, or will, contact about serving at your camp
*
Important Information
You will receive links to the
Facility Form
and the
Budget/Financial Form
at the appropriate time.
Add any additional comments here
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