Team Leader Interest Form

VIMM Team Leader Interest Form 2026

Thank you for taking the time to share a little about yourself and you interest in becoming a mission team leader at Volunteers in Medical Missions. Your responses to the following questions will help our team to know how to follow-up and encourage you in your journey to leadership.

First Name

Last Name

Gender

Birth Date

Reason you want to serve

I am interest in:

Team Leadership

Co-Leadership

Medical Leadership (co-leader not necessary)

Medical Leadership with a Co-Leader

Supporting Leaders on a team

Training Other Team Leaders

How did you hear about VIMM?

Share your previous VIMM and/or medical mission experience (if any):

Select any areas you would NOT feel comfortable serving or leading in:

Pharmacy

Distributing Vitamins and Worm Medicine

Crowd Control

Documenting the trip with photography

Documenting the trip with an essay

Evangelism

Praying aloud with patients

Sharing your testimony

willing to lead short team devotionals daily

singing

Money management - expense report, budget

Are you a certified Provider?

What is your Profession?

Have you traveled overseas?

Describe your relevant travel and leadership experiences:

Select the seasons when you would be able to lead a team?

April - June 2026

July - September 2026

October - December 2026

Jan - March 2027

2027 later

Church Member

Church Name

Take the space below to share any additional information that may be helpful to know about you (Are you burdened for specific partners and geographical locations? Do you lead or work with a program, church, or group that is interested in forming a medical mission team with VIMM? etc)

Would you participate in any of the following in order to learn more and be developed as a team leader?

Online Panel Discussion from Current Team Leaders

Zoom Interest Call Q & A

In-Person training in Seneca, SC

Virtual Training prescheduled

Virtual Training Self-Paced

Assignment of a Team Leading Mentor

Participate in a VIMM trip in 2026 prior to leading your team.

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Contact Information

Phone

Address 1

Address 2

City

State/Province

Zip

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