1. ______________________________________(insert name) is a short term missionary/intern with the Latin America Mission (Canada) Inc., and enters into covenant with):
__________________________________________________
(Organization/Place of Service)
2. To whom will the short term missionary/intern report? (Name, position in organization).
3. Primary responsibility of missionary/intern:
4. Secondary responsibility of missionary/intern:
5. Financial Arrangements for term of service:
Latin America Mission will fund the following:
The organization will fund the following (if applicable):
6. Term of service covered by this covenant (please note beginning and ending dates of term covered by this covenant):
7. For assignments of two years or more, list any anticipated furlough dates of the missionary. For all assignment lengths, please indicate any other types of special leave dates the missionary/intern or organization may require.
_________________________________________
Name: Missionary/Intern
Date_____________________________________
_________________________________________
Name: Signature of Service Entity Executive
Date________________________________________
_________________________________________
Carluci Dos Santos
Executive Director/LAM Canada
Date________________________________________