UMVIM Trip Registration

Each year the Conference Volunteers in Mission Office provides information about that year's mission teams to the Jurisdictional Office, which compiles a report for the General Board of Global Ministries. This information becomes a measure of the scope of mission volunteering throughout the United Methodist Church. The Conference also benefits as this information is helpful when planning and budgeting future trips. If your church, district or other entity went on any mission trips this year, please complete a separate report for each trip. Your assistance is greatly appreciated.

TEAM LEADER CONTACT INFORMATION:
*First Name
*Last Name
*Address 1
*City
*State
*Zip
*Phone
*Email
TEAM REGISTRATION INFORMATION:
Team Co-Leader Information:

Include name, address, phone number and/or email address.

*Attendees:

Please list the first and last name of each person who will be attending this trip:

Team Sponsor

*Church
Other (please specify):

Provide sponsor: (district, organization, etc.)

*Name of Trip:
*Location of Trip:

Check one:

Local
Regional
International
*Please specify: (city, state or region/country)
Trip start date:
Trip end date:
*Type of work to be done:

Check all that apply.

Construction
Medical
Connectional
Education
Other
If other, please specify:
*Trip Details:

Please give a summary.

Number of Trip Days:

(Excluding travel, sightseeing, worship, etc.)

*Team primarily for (check one):
Youth
Adults
Intergenerational

EXPENSES:

*Total Travel Cost for ONE Team Member:

Cost of airfare, transportation, etc.

*All OTHER Costs for ONE Team Member:

Cost for food, lodging, interpreter, insurance, etc.

*Total Team Expenses:

Total expenses for ALL team members.

BEFORE YOU TRAVEL:
Background Check Certification

By checking this box, YOU as the Team Leader are certifying that each member of your team 18 years or older has a current, complete, cleared background check and Safe Sanctuaries. This MUST be completed and results back PRIOR to your departure.

Medical/Liability Release Form Certification

By checking this box you, as Team Leader, certify that you are in posession of a current completed Medical/Liability Release Form for each one of your team members.

Certification of Insurance

By checking this box you, as Team Leader, certify that all members of your team are properly insured as described on the UMVIM website.

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