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

ChristianNet.com

NNYM Yellow Pages

Christian Ministry Directory

Mfinder.org

Praise.net

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 9-minute Promotional DVD

STEM Promotional Brochure

A phone call response

An email response

Other Information:

Other comments or questions:

Submit Form