Mission Scholarship Application

UMVIM in the Rocky Mountain Conference has a small fund for mission scholarships. They are intended to encourage and support people who would not otherwise be able to participate in an UMVIM experience. Scholarships are also designated for future international team leaders, students and medical teams. The scholarships can pay for part of a team leader/member’s expenses or contribute toward supplies for UMVIM projects. Applications are due by April 1.

Date______________________

Name __________________________________________________________________

Address ________________________________________________________________

Phone____________________ Email Address______________________________

Church Affiliation __________________________ District ______________________

Pastor____________________________________ Phone________________________

Trip Destination & UMVIM Project___________________________________________

Trip Team Leader __________________________ Phone________________________

Your reasons for wanting to be a member of this team:

Please describe how you would fund the remainder of your mission trip:

Please comment on your willingness to travel and live under conditions that may be uncomfortable and require your flexibility, sense of humor and understanding:

Please return this form to:

Betsy Keyack,

bkeyack@att.net, 10317 S. Charissglen Circle, Highlands Ranch, CO 80126

Ann Fort

annfort8269@comcast.net, 8269 S. Kearney St., Centennial, CO 80112