Missions Support Request Form

Missions Assistance Form

Gathering Church
Please fill out each portion of the form. Include sufficient, but not exhaustive, information on the portion of this form where questions are asked.
I. Personal Info:

Tell us about yourself
Full Name *

First Name Last Name
Birthdate: *

Month Day Year
Mobile No. *

Area Code Phone Number
E-mail *
Where the confirmation will be sent to
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
I. Mission Support Info:

Your needs for the mission
What are you requesting missions support for?

0/300
What are the dates of your mission?
Are you requesting

one-time support? ongoing support?
How much support are you requesting from Gathering?
What is the total support you must raise for your mission?
How much support have you raised as of today?
When is your deadline for raising full support?
By what date are you asking to hear word from Gathering?
If Gathering is led to provide mission support how would they make a donation?

0/300
I. Mission Connection Info:

Sending and Oversight
What Church or Organization is your mission with?
Who with the Church or Organization can we contact? (include email or # of contact)
Who will be your point of oversight during the mission?
I. Your Local Church Info:

Current church involvement
Are you currently an active member at a local church?

Yes No
Who is a contact at your local church for a reference? (include email or # of contact)
If you are not an active member in a local church please explain why.

0/300
I. Mission Agenda Info:

The mission and your role
How is the Gospel central to your mission?

0/300
What will be your role on the mission be?

0/300
Why do you feel called to be a part of this mission?

0/300
Is your family supportive of your mission? If not, why?

0/300
Thank you for your desire to live and love on mission.
Should be Empty:

Missions Assistance Form

I. Personal Info:

I. Mission Support Info:

I. Mission Connection Info:

I. Your Local Church Info:

I. Mission Agenda Info: