REQUEST FORM FOR POWERPLANT PROJECT - 2010 Complete and mail to: PowerPlant- Student Volunteer Mobilization, 4200 North Point Parkway, Alpharetta, GA 30022 OR Email to firstname.lastname@example.org FOR OFFICE USE ONLY Date Received: __________________________ For Year: ______________________ Initials: ________________ INITIATOR INFORMATION: Request Initiator Name: Title/Occupation: Address: City: State: ZIP: E-mail address: Work Phone: Cell Phone: Fax: ( ) - ( ) - ( ) - BAPTIST ASSOCIATION INFORMATION Name of Association: Director of Missions (name): Address: City: State: ZIP: E-mail address: Work Phone: Cell Phone: Fax: ( ) - ( ) - ( ) - STATE LEADERSHIP INFORMATION Executive Director: Phone: ( ) - E-mail address: State Director of Missions: Phone: ( ) - E-mail address: Primary Contact for PowerPlant from State Phone: ( ) - Convention: E-mail address: PREFERRED DATES FOR PROJECT (summer of 2009) 1. 2. LODGING POSSIBILITIES CONTACT TELEPHONE/EMAIL Name of location (church/campus, etc) PERSON OF CONTACT PERSON Phone: ( ) - 1. E-mail address: Phone: ( ) - 2. E-mail address: IMPORTANT It is your responsibility as initiator to share this information with your association and state convention. Signed: ________________________________________________________Date: __________ Initiator of request Signed: __________________ _____________________________________ Date: __________ Associational Director of Missions Signed: _______________________________________________________ Date: __________ State Director of Missions POWERPLANT STATEMENT OF NEED Describe how a PowerPlant project would enhance the work of your church planting efforts. What types of ministry sites would you involve 10-12 teams in during the week? (ex. VBS, sports camps, survey work, gathering events, etc.) If your city is chosen as a 2010 PowerPlant project, we would like to have some information for our website. Please write a blurb about the city, the areas of interest, the ministry opportunities of interest and the possible PowerPlant work that will be done in 2009. To see some examples, please check out our website at power-plant.net and click on the city locations on the right sidebar.
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