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Project Request Form
Project Request Form
Requesting Agency/Organization/Church
*
City, State/Province
*
Relationship to Southern Baptist Convention
*
State Convention
Local Association
Southern Baptist Church
NAMB
Church Planter
Other
If other, please explain:
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Relationship to Southern Baptist Convention
Title of Project
*
Be creative, this will be published
Type of Volunteers Requested:
*
Short-term (1-4 weeks)
Summer (6-10 weeks)
Semester (4-10 months)
If job description and costs per day are the same; you can submit one for more than one type. But if the job description or costs per day differ, submit separate forms.
General Information:
Is this project in the U.S. or Canada?
United States
Canada
Mailing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Mailing Address
*
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Website Address
Person Completing Form
*
First
Last
Email
*
Hidden
Office Phone
Phone Number
Other form of communication info:
Will the local supervisor be different than the requesting party?
*
Yes
No
Local Supervisor Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Local Supervisor Address
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Local Supervisor Email
Local Supervisor Best Contact Number
Has this person supervised student volunteers before?
Yes
No
Will the supervisor be present the entire time while the students are on the field?
Yes
No
Dates supervisor will be gone:
Is this person a paid worker or a volunteer?
Volunteer
Paid
Who is the best person for volunteers to contact directly?
*
Which is the best contact method for volunteers to use to contact you?
*
Students Requested
Short-Term (1-4 weeks)
Beginning Date
*
MM slash DD slash YYYY
Ending Date
*
MM slash DD slash YYYY
Are dates flexible?
*
Yes
No
Number of male students requested:
*
Number of female students requested:
*
Number of students requested (either male or female):
*
Minimum years of college completed:
*
1 Year
2 Years
3 Years
4 Years
Graduate
Is an adult coordinator requested to come with the team?
*
Yes
No
Students Requested
Summer (6-10 weeks)
Beginning Date
*
MM slash DD slash YYYY
Ending Date
*
MM slash DD slash YYYY
Are dates flexible?
*
Yes
No
Number of male students requested:
*
Number of female students requested:
*
Number of students requested (either male or female):
*
Minimum years of college completed:
*
1 Year
2 Years
3 Years
4 Years
Graduate
Is an adult coordinator requested to come with the team?
*
Yes
No
Students Requested
Semester (4-10 months)
Beginning Date
*
MM slash DD slash YYYY
Ending Date
*
MM slash DD slash YYYY
Are dates flexible?
*
Yes
No
Number of male students requested:
*
Number of female students requested:
*
Number of students requested (either male or female):
*
Minimum years of college completed:
*
1 Year
2 Years
3 Years
4 Years
Graduate
Is an adult coordinator requested to come with the team?
*
Yes
No
Denominational Affiliation:
*
I am requesting students that are members of Baptist Churches Only
I am willing to take Baptist and non-Baptist students that are active in their campus BCM (Baptist Collegiate Ministries) and attend an evangelical church.
Project Description
Brief Project Description
*
This is exactly what will appear on the BCM Life Missions web site
Additional Details
If needed, give additional details and description about your work, the work of the student volunteers, location or culture that was not included in the publishable description above.
What type of student is needed?
*
What special skills, majors, abilities or gifts are needed or required? Would knowing a specific language be helpful or required?
How will you mentor the student spiritually?
*
What training/orientation will you provide for the student?
*
If possible, suggest a possible weekly schedule for the student(s) or attach separately:
*
Weekly Schedule Attachment
Max. file size: 50 MB.
Are you requesting student volunteers from other agencies/schools/states?
*
If so, how many are you requesting and with whom?
Travel Information:
To which airport will volunteers need to arrive?
*
Is a particular time of day they need to arrive or other travel information or suggestions?
*
Living Arrangements:
What are housing/lodging arrangements?
*
What are meal/food arrangements?
*
What are local transportation arrangements?
*
Costs
Please include all costs volunteers will need to cover. This might include: housing, meals, local transportation, utilities, internet, phone, etc.
Hidden
Housing:
Hidden
Meals:
Hidden
Local Transportation:
Hidden
Utilities, internet, phone, etc. :
Volunteer Living Expenses:
Ministry Expenses:
Additional Costs:
Such as a suggested amount the volunteer might want to bring for personal expenses.
Explanation of costs:
Total cost for each volunteer:
*
This amount will appear on the web site.
I have read and understand the Memorandum of Understanding regarding the use of the BCM Life Missions website.
*
Yes
Signature
*
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Today's Date
*
MM slash DD slash YYYY
Other information not included previously:
Comments
This field is for validation purposes and should be left unchanged.
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