Registration Scholarship Application
Global Children’s Ministry EQUIP Conference 2012
May 23-25, 2012
Chiang Mai, Thailand
• Registration scholarships are for those individuals wishing to receive a partial or full scholarship for registration fees to
attend the Global Children’s Ministry EQUIP Conference in Chiang Mai, Thailand, May 23-25, 2012.
• Scholarships cover either the Partial (registration and meals) or Full (registration, meals and housing) Registration
Package. There are no scholarship funds available for air travel, visa or other travel expenses that may be required to
travel to the conference.
Please fill out the application completely (print or type)
Return completed forms to gcmEQUIP@gmail.com
We will let you know whether your application was approved or not within four weeks of receipt
Full Legal Name:
City, State, Postal Code:
Telephone: Mobile Phone:
Is a visa required for your entry into
What language do you speak?
Will you require translation to
participate in this conference?
Education & Experience
Please list your educational experience. Check all boxes that apply:
High School Diploma (year awarded):
College Degree(s) (Please list):
Other Training (Please list):
What is your current vocation?
Briefly describe your experience in children’s ministry and/or children’s ministry leadership:
Please describe other areas of mission or church ministry:
Registration Scholarship Application - Page 1
Please tell us why are you are in need of a scholarship to this conference.
How do you believe your participation with this conference will help you reach and disciple more children
If you receive a scholarship, will you be able to raise the additional funds to pay for travel expenses for this event?
How do you plan to do so?
What church do you attend?
How long? Membership Status:
Denomination or affiliation:
May we contact your pastor for a personal reference? Yes No
Please list two personal references below. Do we have your permission to contact them for a reference?
City, State, Zip:
City, State, Zip:
How does your family feel about your participation in this event?
Do you foresee any personal or vocational obstacles that would keep you from traveling to Thailand for this event?
Please send questions, or return this completed form to gcmEQUIP@gmail.com
Note: Scholarship invitations will be confirmed about four weeks after applications are received. However, final
scholarships will only be awarded to those who provide proof of travel (purchased air tickets) and visa approval.
These must be received at least four weeks prior to the conference.
Registration Scholarship Application - Page 2