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Covenant of Support: Mission Travel Study to Haiti

Deadline to submit application: July 16, 2010

(* Required)  
Applicant *
Name of Endorsing Church or Organization *
Mailing Address *
City *
State *
Zip Code *
Daytime Phone *
How long have you known the applicant? *
In what capacity have you known the applicant? *
Why is this person being recommended? *
If this person has previously been involved in ministries with Haiti through your congregation or conference, in what capacity was he/she involved? *
Has this person committed to return and share his/her experience with your local church/conference/church agency? If so, in what capacity? *
Other information pertinent to the evaluation of this person: *
Cross-cultural experiences are important but expensive. Persons in this study are not traveling for themselves alone, but rather on behalf of others. It is hoped that where needed, some local or denominational assistance may be provided. If this person needs financial assistance, how is he or she being helped to raise funds? *
Name of Endorser: *
Title and Position: *