Missouri Conference Volunteers in Mission

Team Leader Report Form

Team Leader's Name      

Street Address                  

City, State                           

Zip                                        

Email                                   

Phone                                 

Project Name                    

Location of Project (Country or State in US)                 

Departure Date (MM/DD/YYYY)                                          

Return Date (MM/DD/YYYY)                                                

 Hours worked per Day                                                       

Number of work Days                                                          

Project Cost                                                                           

Team Cost (Travel, Food, Lodging)                                

Value of Other Donations                                                  

Number of Team Members                                                

Team Sponsor (Conference, Local Church, Other)    

Check what type of team you led:

Conference Team    District Team   Local Church Team   

Type of Project - check one or more:
        Medical     Construction    VBS      Other 

How would you evaluate the experience of the team:  Please Check one.
Very Positive       Somewhat Positive        Not Positive  

Any comments/concerns you might want to share about the experience: