LEAVE AND FURLOUGH REQUEST FORM- EMI

APPROVAL MUST BE IN WRITING VIA THIS FORM

(PLEASE SUBMIT THIS FORM AT LEAST 8 WEEKS IN ADVANCE TO ALLOW YOUR FIELD DIRECTOR TO RECEIVE, APPROVE, AND RETURN THIS FORM VIA MAIL, E-MAIL, OR FAX, WHICH EVER IS THE BEST WAY FOR YOU TO RECEIVE THIS FORM BACK)

FROM: (Give your complete name and address) ________________________________________________________________________________

SEND TO:

Evangelism Missions Inc.

Foreign Field Director

P.O. Drawer 550

Thorsby, Alabama 35171

Or

Brother Jim Ammons

Foreign Field Director

158 Edgemond Circle

Ringgold, GA 30736

E-Mail: jjammonsnigeria@aol.com

FURLOUGH OR LEAVE TIME REQUESTED:

(PLEASE CHECK THE TIME YOU REQUEST)

(           ) (NOTE: FOR FIRST TERM MISSIONARIES) TWO YEARS ON FIELD- 6 MONTHS LEAVE OR FURLOUGH

(           ) THREE YEARS ON FIELD- 9 MONTHS FURLOUGH

(           ) FOUR YEARS ON FIELD -12 MONTHS FURLOUGH

DATE YOU LAST ARRIVED ON FIELD THIS TERM:

MONTH____________YEAR___________

DATE COMING HOME ON FURLOUGH:

MONTH____________YEAR___________

FOR OFFICE USE ONLY:

 APPROVED:____________________________________DATE:__________

DIRECTORS SIGNATURE________________________________________

APPROVAL:_____________________________________DATE:__________

PASTOR’S SIGNATURE: