Overseas Mission Enquiry Form

Overseas Missions Enquiry

If you're interested in short-term placements with Elim Missions, fill in your details and we will contact you to discuss our current placement options.
Full Name*

TitleFirst NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Email*
Date of Birth

DayMonthYear
Do you hold a current UK Passport?

YesNo
Home Church
Placement Information
Destinations of interest
Preferred trip duration
Approx. leaving date

DayMonthYear
What type of work are you interested in?

Youth and Children's workTeaching and TrainingEvangelism and PreachingConstruction and DIYHumanitarianHealthcarePrayerHuman exploitationCreative arts outreach/trainingOther
Is this trip for yourself or a team

Just myselfI plan to take a team
Approx. team size
Team age range
Additional questions or comments:
How did you hear about us?
Enter the message as it's shown*
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Overseas Missions Enquiry