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2009 Statistical Report
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The North American Division is compiling the yearly statistical assessment of short-term mission trips in North America. Because the movement of short-term missions is increasing rapidly, some of our fields have not yet turned in reports to our office.

Please take a few moments to provide as much information as possible about each mission trip from your field’s churches and schools during 2006, on through the end of the month of December.  Feel free to copy and reuse this form as needed.  Thank you for your timely response to this important report that impacts our processing, insurance applicability and other factors of volunteer ministries in our division.

PLEASE SUBMIT A SEPARATE REPORT FOR EACH TRIP. (please complete entire form)

NAME OF PERSON COMPLETING THIS FORM:

CONTACT INFO FOR PERSON COMPLETING THIS FORM:

E-MAIL FOR PERSON COMPLETING THIS FORM:

NUMBER OF VOLUNTEERS IN GROUP:

UNION:

CONFERENCE:

STATE/PROVINCE:

INSTITUTION(S):

CONTACT PERSON:

PHONE:   FAX:   E-MAIL:

TRIP DATES: FROM      -- THROUGH    

DIVISION/COUNTRY OF SERVICE -- OR -- STATE(S)/PROVINCE OF SERVICE:

DUTIES PERFORMED.