New York School of Urban Ministry - A Training & Resource Center Serving The Urban Church

We are pleased that you have considered coming to NYSUM for a ministry outreach opportunity. Please take a few moments to fill out the questionnaire below, so that we may get to know you a little better. We look forward to partnering with you and your church or organization in the future!

1. Team Name(required)
2. Contact Name(required)
3. Ministry Position Pastor Youth Pastor Individual Choir Director Ministry Director/Leader Small Group Leader (required)
4. Address(required)
5. City(required)
6. State -- Please select a state -- ALABAMA (AL) ALASKA (AK) AMERICAN SAMOA (AS) ARIZONA (AZ) ARKANSAS (AR) CALIFORNIA (CA) COLORADO (CO) CONNECTICUT (CT) DELAWARE (DE) DISTRICT OF COLUMBIA (DC) FEDERATED STATES OF MICRONESIA (FM) FLORIDA (FL) GEORGIA (GA) GUAM (GU) HAWAII (HI) IDAHO (ID) ILLINOIS (IL) INDIANA (IN) IOWA (IA) KANSAS (KS) KENTUCKY (KY) LOUISIANA (LA) MAINE (ME) MARSHALL ISLANDS (MH) MARYLAND (MD) MASSACHUSETTS (MA) MICHIGAN (MI) MINNESOTA (MN) MISSISSIPPI (MS) MISSOURI (MO) MONTANA (MT) NEBRASKA (NE) NEVADA (NV) NEW HAMPSHIRE (NH) NEW JERSEY (NJ) NEW MEXICO (NM) NEW YORK (NY) NORTH CAROLINA (NC) NORTH DAKOTA (ND) NORTHERN MARIANA ISLANDS (MP) OHIO (OH) OKLAHOMA (OK) OREGON (OR) PALAU (PW) PENNSYLVANIA (PA) PUERTO RICO (PR) RHODE ISLAND (RI) SOUTH CAROLINA (SC) SOUTH DAKOTA (SD) TENNESSEE (TN) TEXAS (TX) UTAH (UT) VERMONT (VT) VIRGIN ISLANDS (VI) VIRGINIA (VA) WASHINGTON (WA) WEST VIRGINIA (WV) WISCONSIN (WI) WYOMING (WY) ----------------------------------- Armed Forces Africa (AE) Armed Forces Americas (AA) (except Canada) Armed Forces Canada (AE) Armed Forces Europe (AE) Armed Forces Middle East (AE) Armed Forces Pacific (AP) (required)
7. Zip(required)
8. Contact Phone(required)
9. Email(valid email required)
10. Fax
11. Home Phone
12. Please contact me by:
13. Phone Email Fax
14. I am interested in the following: (Check all that apply):
15. Compassion Weekends Jan,Feb,Mar,Nov & Dec.
    Spring Break Outreaches (Feb – April)
    March Compassion Outreach Weekend
    Extreme makeover Weekend
    Summer Outreaches (June – August)
    Operation Drumstick Weekends
    Christmas in NYC special
    Christmas Compassion Week
    High/Home School Jr/Sr Missions Trip
    Citi Impact
    Work Teams (Skilled Construction Teams)
    Short term - Lodging Only
    Work Teams (Skilled Construction Teams)
    Christian Dorm Program
    Urban Ministry Internships
    Other
    
16. Please Indicate Age Range of Ministry Team:
17. 17 Years and younger (every 3 members under 18 years old must be accompanied by an adult who is 21 or older)
    18 to 25 years old
    26 to 40 years old
    41 years old and above
18. (Approx.) Number of People 5-10 5-10 5-10 45-65 65-80 80-100 100+

 

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