Short-Term Team Placement Application

Short-Term Team Placement Application
Team leader contact information
Names of Team Leader:*

First NameLast Name
Address of Team Leader:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:*

Area CodePhone Number
Email*
Congregation or sending organization*
Mission Trip Information
Location of trip
Requested dates
Number of expected team members
Team makeup

Adult (18+)Youth group (Junior High)Youth group (Senior High (16+)Family TripTeam not organized
Select a choice

My congregation or organization has never served with LCMS World Mission.My congregation or organization has served with LCMS World Mission.
Other questions
Pastor or Organization Leader Contact Information

All teams must be approved by their pastor or an LCMS recognized leader.
Pastor/Leader Information

Same as team leader above
Pastor or Organization Leader:

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
Should be Empty: