Mission Dispatch - Application Form

CONTACT INFORMATION

Welcome! Please answer all relevant questions.

Are you applying as an individual or as an organization?
Indvidual
Organization

*An organization is an official business, ministry or non-profit that has a bank account under the name of the organization, not under the name of an individual. Based on your answer, please fill in the appropriate section after you complete the contact information section.

Name of Individual or Organization

First Name (Primary Contact)

Last Name (Primary Contact)

Phone Number

Email

Address 1

Address 2

Country

City

State/Region/Province

Zip/Postal Code

ORGANIZATION APPLICATION

(Complete this section only if you are applying as an organization.)

Your relationship to the organization:

Country or countries where organization provides service:

Country where organization is based:

1-2 sentence description of your ministry:

If a US organization, is your organization recognized by the IRS as a 501(c)(3) organization?
Yes
No

If a US organization, what is the US TaxID of your organization?

If a non-US organization, is your organization recognized as a charity by your country?
Yes
No

If a non-US organization, please describe how your organization is registered or recognized in your country.

Does your organization have a US bank account?
Yes
No

INDIVIDUAL APPLICATION

(Complete this section only if you are applying as an individual.)

1-2 sentence description of your ministry:

Country or countries where you minister:

Country where you are based:

Do you have a US Social Security Number?
Yes
No

Do you have a US bank account?
Yes
No

How long have you been in ministry?

Can you tell us your educational background?

How did you hear about Mission Dispatch?

Thank you for your interest in Mission Dispatch. We will reply soon.

MISSION DISPATCH APPLICANT INFORMATION

CONTACT INFORMATION

ORGANIZATION APPLICATION

INDIVIDUAL APPLICATION

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