We’re delighted that you are considering serving God overseas through an Immerse Mission Internship. Please fill in and submit this enquiry form and one of our mobilisers will get in touch with you. Title Surname * First Name * E-mail * Date of Birth Day Day12345678910111213141516171819202122232425262728293031 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Year Year1979198019811982198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012201320142015201620172018201920202021 Marital Status Current Address * Town * Postcode * Is this your permanent address? * Contact telephone number * Current occupation (and your course if a student) Your Nationailty If you are NOT a British citizen or a citizen of the EU, what is your reason for being in the UK? How long would you like to spend on Immerse? One year programme Two year programme What type of skills would you be interested in using during your Immerse Mission Internship? Where are you interested in serving? Have you worked in a cross-cultural situation before? If yes, please give details Briefly describe the beginning and growth of your faith in Jesus Christ Name and location of the church you attend regularly Denomination / Affiliation (if any) In what ways are you involved in your church? How have your church leaders responded to your interest in serving overseas? Is this a joint enquiry with your spouse? If yes, please ask him/her to complete a separate Enquiry Form Do you have any children? If yes, please give their current age Please add any relevant information or questions that you feel will help us follow-up your enquiry Where did you first hear of Serving in Mission? Christian Event Serving in Mission website Christian Vocations Church I attend Served with Serving In Mission before CU / UCCF Social Media Serving in Mission Postcard Serving in Mission Leafet Leave this field blank