New ShortTerm Mission Form

Information Needed for Listing of New ShortTerm Mission Site:

*(required)

Church Name:

Organization Name:

-if organization, church afffiliation:

Mailing Address:

Street Address:

City/State/Zip:

Church/Organization Phone*:

Email*:

Website:

Contact Person*:

Title:

Email*:

Cell Phone*:

Description of Ministry:

Mission Statement:

Vision Statement:

General Description of Ministry:

Please leave this field blank.