International Messengers
Application Request Form
*
required
Personal Information
Name
*
Street Address
*
City
*
State
*
Zip Code
*
E-mail Address
Phone Number
When is the best time to call?
What is your age?
Church Name
I am applying as:
Individual
Family
Group (church, college, etc.)
Length of Trip Desired
2 Weeks
4 Weeks
Other (indicate in comments)
Camp Preference
Season Preferred
Spring/Summer
Fall/Winter
Country of Preference (1st)
[Select One]
Czech Republic
Hungary
Poland
Romania
Slovakia
Ukraine
No Preference
Country of Preference (2nd)
[Select One]
Czech Republic
Hungary
Poland
Romania
Slovakia
Ukraine
No Preference
Country of Preference (3rd)
[Select One]
Czech Republic
Hungary
Poland
Romania
Slovakia
Ukraine
No Preference
Please share any information that will help us match you with the camp or ministry that would best fit your interests. If applicable, please include names of specific overseas IM staff that you know and would like to work with.
Comments