Apply for Support Contact Information Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Home Church * Church Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Personal History Church Phone Number * (###) ### #### Date of hire/years of service at your current church: * Dates / years of service / positions at prior church(s) * Prior Sabbatical - dates, goals & outcomes: * Current Planned Sabbatical Leave Details Start + End date of sabbatical leave: * Why do you want to go on sabbatical? (purpose/hope/expectations) * Goals: * What will be the outcome or compelling advantage 3 months after you return? * Please include responses for the impact on both you and for others. Plans to accomplish goals: * Plans to cover current responsibilities: * Expense budget for applicant: * Expense budget for church: * Funding plan for applicant (church or ministry support): * Funding plan for church: * Spouse and family needs: * Other Confidential issues needing attention: (ex: addictions, couples or personal mentoring/counseling, depression, etc) Feedback * What do others say you need vs what do you think you need? Communication Plan: * To your church, family, others who will be impacted. Questions or Comments: Thank you for your submission! Our team will review it and reach out to you soon!
