Missions Short-Term Support Application

Please read the Christ Community Church Statement of Faith and Missions Purpose Statement, then complete this form. Please also submit a written personal recommendation from CCC (an elder, a pastor, or a member of the Missions Committee). If your project is with a campus organization with which you are involved locally (e.g., Cru, navigators, Chi Alpha), also include a written personal recommendation from a ministry staff member.

Name *

First

Last

Years attending CCC

Address

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Phone

Email

Marital status

Number of dependents

CCC pastor who knows you best

Briefly describe how you are/were involved at CCC

Name of the mission organization

Mission organization's address

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Mission organization's phone

Mission organization's email

Is this organization accredited with the ECFA?

• Yes
• No

Person in charge of your project

Where will the project take place?

Dates of project

Financial Information

How much is the total cost of the project for you? As much as possible, break this down into specific categories, such as transportation, food, accommodations, administrative costs, etc. For projects of six months or longer, a more detailed budget would be helpful.

How much support have you raised so far?

How much are you planning to pay out of your own pocket?

Please give specific instructions of how, to whom, and when your funds are to be sent/handled. (All monies must be designated to a mission agency or campus ministry.)

Christ Community Missions gives a maximum of $1,000 for projects of less than 6 months and $4,000 for projects of 6 months or longer. How much would you like CCC to contribute to your project?

Concisely tell how you became a Christian:

What are you presently doing to develop your relationship with Christ?

Describe the nature of the mission project you will be participating in, and as specifically as possible, list your responsibilities on this project.

Why do you think you are qualified for this project? Include a brief description of any training involved in preparation for this project.

Do you have your parents' permission (if you are a minor) to participate in this project?

Have you read the Christ Community Statement of Faith, and do you agree with it in its entirety? (If not, please explain.)

Signature

Clear Signature

I have read the Christ Community Missions Purpose Statement and understand the church’s Missions policy. I have sent/will send a written recommendation from a CCC elder, pastor, or member of the Missions Committee and (if applicable) a campus organization.

Letters of Recommendation

Letters can be emailed to missions@cccbloomington.org or mailed to Christ Community Church at 503 S. High St., Bloomington, IN, 47401.

Please provide a written personal recommendation from CCC (an elder, a pastor, or a member of the Missions Committee).

• I will upload a file
• I will provide this later

Upload recommendation letter from CCC elder, pastor, or Missions Committee member

Click or drag a file to this area to upload.

If your project is with a campus organization with which you are involved locally (e.g., Cru, navigators, Chi Alpha), also include a written personal recommendation from a ministry staff member.

• I will upload a file
• I will provide this later
• I am not involved with a local campus organization

Upload recommendation letter from campus organization ministry staff

Click or drag a file to this area to upload.

Submit