Youth in Mission Interest Form Date 01-19-2017 First Name Last Name Age Cell E-mail How did you hear about YIM? WebsiteEmailFacebookInstagramTwitterVideoFriendYouth LeaderPastorDistrict EventField EventWeb SearchOtherAliens landed in my backyard Why are you interested in YiM? I'm curious about missionsI'm committed to joining God's MissionI'm called to the mission of GodI'm looking for cross-cultural experiencesI just want to help outSomeone recommended it would be a good fit for meOther Check all that apply to you: High School Graduating High School Senior High School Graduate College (Private, State, or Community) University (Private, State or City) College/University Graduate Tech School Working Other What social media do you use the most? InstagramTwitterFacebookMessengerSnapChatWhatsAppOtherI avoid technology because the robot uprising is imminent Describe your current relationship with Jesus... Have you ever been on a Mission Trip? Yes No Which YiM Deployment Option are you most interested in? 2 month (all locations, June-July) 1 month (select locations, June/July)* 2.5 weeks (June 15-July 1st General Assembly) * 1 month options are reserved for graduating high school seniors and those who have academic conflicts. Which YiM context are you interested in? Urban Rural Either List 3-5 one word descriptions of what comes to mind when you read the word mission... Thank you for completing this Interest Form. Once Submitted you will receive an email with a link to our YiM Application. Got it! Would you be willing to recommend 1-3 friends to be contacted by Youth In Mission to begin their Interest Form? Name/Contact Info: 1. 2. 3. Questions or Comments?