EBIC Student Ministry Request

Student Ministry Request Form

Request a student team for your Church or organization.
Ministry/Organization Information
Church/Ministry/Organization Name:*
Lead Pastor/Director Name*

First NameLast Name
E-mail:*
Main Phone:*

Area CodePhone Number
Mobile Phone

Area CodePhone Number
Address of Ministry Site*
This is where the team will be doing ministry.
Please describe your organization's focus and goals:*
Contact Person

Maintaining clear lines of communication is essential. Please provide the name and contact info of the person who will be directly interacting with the Ministry Department and with the Student Ministry Team.
Is the main contact person is the same as the Pastor/Director indicated above?*

YesNo, it will be a different person.
Contact Name*

First NameLast Name
Contact E-mail:*
Contact Main Phone:*

Area CodePhone Number
Contact Mobile Phone:

Area CodePhone Number
Team specifics that best suit your needs
Our goal is to effectively serve you and give our students solid practical ministry experience. What specific services could a Student Ministry Team provide for you?*
Day of the week:*
Team arrival time:*
Team departure time:*
Size of team needed:*
Gender needed:*
How many individuals are in the group or class the ministry team would serve?*
What is the age bracket?*
Please describe any restrictions or procedures the team should know and observe?
Please indicate appropriate dress for team members:*
Please include any other pertinent information:
Mileage Reimbursement

The requested travel reimbursement for the cost of providing a student ministry team is based on $.50 per mile round trip. It would be greatly appreciated if your organization would cover the cost of transportation. If covering this cost would be hardship to your church or organization, please let us know. It is our heart to work with you as much as possible.
Will your organization be able to cover this cost of mileage reimbursement?*
At the end of each semester, the EBIC Ministry Department will send you an total reimbursement amount, along with payment instructions (online or check).

THANK YOU FOR YOUR SUPPORT!
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Student Ministry Request Form

Ministry/Organization Information

Contact Person

Team specifics that best suit your needs

Mileage Reimbursement