UMVIM Team
REPORT
We appreciate the information that you are about to supply!
It helps the Conferences understand the scope of mission work that we as United Methodists undertake as the Hands and Feet of Christ! Fill out the information that you can. Thank you !
Team Leader or Individual Volunteer CONTACT INFORMATION
LAST NAME:
*
FIRST NAME:
*
EMAIL ADDRESS:
*
PHONE NUMBER:
*
ADDRESS 1:
*
ADDRESS 2:
CITY:
*
STATE:
*
ZIP CODE:
*
ANNUAL CONFERENCE:
*
Co-Team Leader CONTACT INFORMATION (if applicable)
FIRST NAME:
LAST NAME:
EMAIL ADDRESS:
PHONE NUMBER:
ADDRESS 1:
ADDRESS 2:
CITY:
STATE:
ZIP CODE:
ANNUAL CONFERENCE:
Sponsoring Church/District/Agency (if any)
SPONSOR NAME:
ADDRESS 1:
ADDRESS 2:
CITY:
STATE:
ZIP CODE:
Team Leader Training
I have completed Team Leader Training
DATE OF TRAINING:
-
Month
-
Day
Year
Date
CONFERENCE TRAINED IN?
TRAINERS NAME:
Project INFORMATION
PROJECT NAME:
PROJECT COUNTRY:
*
PROJECT LOCATION:
*
HOST NAME & EMAIL
DEPARTURE DATE:
*
-
Month
-
Day
Year
Date
RETURN DATE:
*
-
Month
-
Day
Year
Date
ADVANCE NUMBER if any:
Project DESCRIPTION (indicate all appropriate responses)
TYPE of TEAM
*
CONSTRUCTION
DISASTER RECOVERY
EARLY RESPONSE TEAM
EDUCATION
VACATION BIBLE SCHOOL
EVANGELISM
MEDICAL
YOUTH / YOUNG ADULT
RELATIONAL
OTHER
ADDITIONAL COMMENTS:
# Adults on TEAM:
*
# Youth on TEAM:
*
# days WORKED:
*
Project FUNDS:
*
Cost of food/travel/lodging per member:
*
OR cost of food/travel/lodging for team:
*
Value of any medical supplies donated:
*
Value of anything else donated:
*
TELL YOUR STORY upon returning
We are always looking for stories and picture of UMVIM teams and the mission they have been on. Please submit a couple paragraph story plus pictures to umvim-ncj@brookings.net. Thank you !
Submit
Should be Empty: