Covington Baptist Association
Tuesday, June 27, 2017
PROCLAIMING JESUS AND SERVING CHURCHES SINCE 1856!

Application form

Covington Baptist Association Missions and Ministry Scholarship Program
Application for Assistance

Name:    ____________________________________________

 
Address:____________________________________________
 
Is This Your First Missions Trip?   ______ YES   ______ NO
 
Is This Your First International Missions Trip?   ______ YES   ______ NO
 
Phone:___________________________    e-mail:______________________________________
 
Church Membership:________________________    Location of Project:_____________________
 
Dates of Project:___________________________________
 
Sponsoring Organization: ____________________________________________
 
Address:____________________________________________
 
Phone:____________________________________________
 
Project Team Leader:____________________________________________ 
 
Purpose of Project:____________________________________________ 
    
Cost of participation: (excluding personal expenses):
 
Transportation   $___________ Lodging $__________  Meals $ ____________ Other $____________
 
Total Cost of Participation: $__________________
 
Amount requested:  $__________________

Other sources of funding and approximate amounts: _________________________________________

________________________________________________________________________________________
 
Deadline for deposit:__________________ Amount: __________________
 
Deadline for balance:__________________
 
Items to be submitted with application:
1. Written personal testimony statement (no more than one page).
2. Statement of endorsement by your pastor.
3. Personal statement verifying commitment of participation and that requirements of the project will be satisfied.