Upper New York Volunteer in Mission Scholarship Application (revised 7/1/14)

This application is for prospective team members who need financial assistance in order to afford team participation, and who will contribute skills and spiritual gifts needed by the team. Scholarships are: for domestic teams, the greater of $100 or 20% of the cost of the mission; for international teams, the greater of $200 or 20% of the cost of the mission. Teams must have a trained team leader and provide health and accident insurance (see http://umvimnej.org/ ). Preference will continue to be given to youth or first time Volunteers-in-Mission; preference will be a maximum of 2 scholarships/team. Team leaders may also, on application, be granted 20% of their mission cost.
Every attempt will be made to respond within three weeks. Applications must be received at least 6 weeks prior to trip. Signed forms may follow online submission.
After completing the information and BEFORE clicking Submit, print the form so that signatures can be obtained. Send the signed form to: Roger Cullen, 9 Fox Holw, Ionia, NY 14475-9704.

*Required items must be filled before submitting form.

    Applicant Information

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    Project Information

    This is needed to determine exactly which mission team trip you wish to join.
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    Team and Leader Information

    Please ask your team leader for info you don't know. The leader's signature is required on the form so info should be accurate.
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    Stop! Do not click Submit button until you print this completed form.

    If you click Submit before printing, you will not be able to print the form and use it to obtain signatures. Print first, then click Submit when you have your paper copy.

    Required Signatures

    Applicant-- Pastor-- Church Mission Chair or Council Chair-- Team Leader--