Medium-Term Mission Support Application Medium-term assignments are of 1-2 years in length. Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *PhoneAre you a student? *YesNoStudent Grade or ProgramGrade 9Grade 10Grade 11Grade 12Post-secondaryGraduateIs SPL your home church? *YesNoName of Partner *We'll use the term "Partner" to refer to the name of the church, camp, mission, or other organization you'll be placed with. For example, YWAM or Water Ambassadors.Partner Contact Name *FirstLastPlease provide the name of someone with the Partner organization whom we can contact about this.Partner Email *Please provide the email of the contact person you've identified; failing that, please provide email information for the organization.Partner Phone NumberPlacement Location *Departure Date (if applicable)MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Ministry / Placement Start DateMM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If you start date is more than one later than your arrival in the country, please provide the date that you will actually begin your placement.Return Date (if applicable)MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Ministry / Placement End DateMM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If your placement end date is more than one day earlier than your departure from the country or area, please tell us when your placement will end.Please provide details about the mission project / activity. *Why are you interested in participating in this mission project / activity? *Type(s) of Support Requested *PrayerFinancialCommunication about the projectOther (please describe)Other support requestedTotal Fundraising Goal *What is the total amount of funding that you are seeking from all sources?Funds Requested from SPL *What is the amount that you are seeking from SPL? (Please note that SPL typically considers supporting no more than $250 per week up to a maximum of $1000 for short term missions.)What will the funds you raise be used for? *For example, Travel: $500; Accommodation: $250Have you been well-informed about the country, the people, and/or the work with which you will be involved? Who provided this information? *Are there any plans for orientation for this? If so, please tell us about those.What makes you feel that this mission commitment is right for you and that this is God's right timing? *With whom have you discussed your plans? Who have you sought advice from? How have you prayed about this? *Who has encouraged you to participate? Who has encouraged you NOT to participate? *If you are 18 years or younger, how do your parents feel about you participating in this?Other informationIs there anything else you think we should know about this?ReferencesPlease provide us with the names of two people from SPL who can act as references for you.Reference 1: Name *FirstLastReference 1: Email *Reference 1: PhoneReference 2: Name *FirstLastReference 2: Email *Reference 2: PhoneInformation privacy and sharing *I agree that my information may be shared for decision-making purposes.We will share your information with a select group of people who will help discern if and how SPL can support you. Submit