STEM Privacy Policy

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STEM Trips Inquiry Form

For General Inquiries, please use the General Inquiry form.
For Personnel Inquires, please use the Personnel Inquiry form.

Name:

Address:

City:

State:

Zip:

Phone:

Email:

Age:

-- Select -- 17 or younger 18-25 26 or older

I am/We are exploring the possibility of:

-- Select -- JOINING an existing "open" STEM Team FORMING a new STEM Team of 12 or more people from my church or organization

Person(s) Joining

-- Select -- Just Myself Just My Family- My Small Group of up to 11 people

The Name of My Church or Organization:

My Position in My Church or Organization:

Type of Team:
(high school students, college students, team of families, mixed ages, retired adults, etc.)

INTEREST LEVEL
My/Our level of interest is:

-- Select -- Exploratory Level of Interest Medium Level of Interest High Level of Interest

Optional (but still helpful) Information:

HOW DID YOU HEAR ABOUT STEM? (select one or more)

Past STEM Team

Word of Mouth

Mission Maker Magazine

Google

Other Search Engine

ShortTermMissions.com

Other:

MISSION INVOLVEMENT
What previous involvement do you have with missions?

WHERE
I am/We are interested in going to (list one or more STEM mission field locations):

WHEN
I/We would like to go (list a season, general dates, specific dates, or an existing open STEM Team # if applicable)

PLEASE SEND
I/We would like to receive (check all that apply):

STEM Promotional Brochure

A phone call response

An email response

Other Information:

Other comments or questions:

Submit Form