Short-Term Missions Support Application 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 *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Ministry / Placement Start DateMM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If your start date is more than one day after your arrival in the country, please also provide the date that you will actually begin your placement.Return Date *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Ministry / Placement End DateMM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920If 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.In 1-3 sentences, tell us about this mission opportunity. What do you expect your role will be? *Type(s) of Support Requested *PrayerFinancialCommunication about the projectOther (please describe)Select all of the types of support that you would appreciate from SPL.Other support requestedWhat is the reason for requesting financial support?If you are NOT a student, please help us understand the circumstances that have prompted you to seek financial support from SPL (for example, unemployment, loss of income).Total 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.)How have you been informed about this mission opportunity—the location, the people, who you will be working with? *Are there any plans for orientation for this? If so, please tell us about those.What makes you feel that this opportunity is right for you and is God's timing? *With whom have you discussed your plans, and what has been their response or advice? *How are you preparing for this—spiritually, physically, mentally, and emotionally?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?Name of Reference *FirstLastPlease provide us with the name of someone from SPL who can act as a reference for you.Reference email *Reference 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
