UMVIM Individual Scholarship Application

Scholarships are only available to members of United Methodist churches within the North Carolina Annual Conference.

"*" indicates required fields

Scholarship*

Please select the scholarship to which you are applying.

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Enter Email Confirm Email

Social Security Number*

Please enter your social security number (for tax purposes).

Church Name*

Church Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

District*

Pastor Name*

First Last

Pastor Email*

Please enter your pastor’s email address. Your pastor will be contacted for a reference.

Enter Email Confirm Email

Church Phone Number*

Mission Group Name*

Mission Location*

Departure Date*

Return Date*

Team Leader*

First Last

Team Leader Email*

Enter Email Confirm Email

Team Leader Phone Number*

Mission Description*

Why are you participating in this mission journey? Elaborate on your call to serve in this way and what possible ways you will be in ministry during your mission journey?

Total Cost of Mission*

Mission Fund Efforts*

Please briefly describe the efforts you and your church have made to fund the cost of this mission journey.

Signature*

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