Timothy Ambition Interest Form – International Project

Organizer Email

Confirm Email Address

Organizer First Name

Organizer Last Name

Organizer Phone Number

Estimated Number of Students

Estimated Number of Chaperones

Which Timothy Ambition Week are you interested in signing up for?

March 13-17, 2023 July 17-21, 2023 Other dates requested (list below)

Only if you checked "other dates requested," please enter the dates you are requesting below and we will get back to you regarding our availability for the dates requested.

Full name of group leader:

Group leader email address (if different than organizer)

Group leader phone number (if different than organizer)

Briefly describe the general past mission experience of the group leader and team.

How did you find out about Timothy Ambition?

Have you or your church participated with us in the past? (check all that apply)

No Yes, I/we have participated in Seed Weeks. Yes, I/we have participated in Timothy Ambition. Yes, I/we have participated in International Project's Discovery Weekend. Unsure

Church Name

Church Denomination

Pastor's Name

Pastor's Role (Youth Pastor, Senior Pastor, etc.)

Church Address Line 1

Church Address Line 2

City

State

Zipcode

Do you have any additional questions or comments?