VOLUNTEER MISSIONARY GRANT APPLICATION

1. The applicant must have already been accepted into the Volunteer Missionary Program through LCMS – World Missions, Missionary Opportunities Short Term (MOST), or be currently sponsored for a specific mission by an LCMS church or LWML in the Pacific Southwest District.  Church or LWML sponsored missions will also be reviewed by the appropriate regional Mission Ministry Facilitator.
2. The volunteer assignment must occur between January 1, 2004 and March 31, 2006.
3. The applicant must be a member of a Pacific Southwest District Church or an English District Church whose LWML is affiliated with the PSW-LWML.
4. Maximum amount available for each applicant per year is $300.00; the Executive Committee of the PSD LWML will have the final approval for each application.

(Please print clearly or type)

Name________________________________________________________________

Address______________________________________________________________

City _____________________________________ State ______ Zip______________

Home Phone # ________________________ E-Mail___________________________

Name of  applicant's church_______________________________________________

Name of Pastor ________________________________________________________

Address of church______________________________________________________

City, State, Zip_________________________________________________________

Phone ________________ Fax _______________ E-mail ______________________

1.  Date of application to LCMS –World Missions or MOST______________________

     Date of acceptance from LCMS World Missions or MOST_____________________
     (Also enclose a copy of letter)
                                                       OR

2.  Name of sponsoring church or LWML____________________________________

      City, State, Zip _____________________________________________________
       (Please include a letter from the Pastor or an LWML officer identifying the
       mission and confirming sponsorship.)

On the back of this page, please explain why you became a volunteer missionary.

Send application to Angelina Gomez, VP Gospel Outreach, 117 S. Maple Ave. Apt #B, Montebello, CA  90640 
 E-mail helinahernandez@yahoo.com

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