UMVIM Team Scholarship '10

[tomcamp]

2009 Team Scholarship Application

Team Leader¡¦s Name _________________________________________________________

Team Leader¡¦s E-mail Address ________________________________________________



Mail check payable to _________________________________________________________
Checks must be made payable to a church or non-profit

And mail to __________________________________________________________________
Mailing address City State Zip


Church Affiliated with trip _______________________ District ___________________


Trip Information

Project Name _______________________________ Departure Date ________________________

Location ___________________________________ Return Date ___________________________

Country ___________________________________ Cost per member $ _____________________

Brief description of the work planned for the project ____________________________________

______________________________________________________________________________

Explain how the scholarship funds will be used _____________________________________

_____________________________________________________________________________________


I have read the scholarship criteria as stated and by my signature below indicate that as team leader, the team agrees to comply with the guidelines attached. ćYes ćNo


________________________________________________ ___________________
Team Leader¡¦s Signature Date