MISSIONARY INTEREST FORM
I am interested in the volunteer missions program in Korea and would like to consider serving Christ through Bible, English classes and evangelistic activities. This form soley brings me more information about the program.
Date
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Month
-
Day
Year
Date
Name
First Name
Last Name
Date of Birth
*
example: 01/01/1961
Birth Place
*
Citizenship
*
Marital Status
*
Single
Engaged
Married
Separated
Divorced
Widowed
Phone Number
*
-
Area Code
Phone Number
Alternate Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
College/University
*
Major
*
I have completed my:
*
2nd year
3rd year
4th year
Graduated
Graduation /Expected Graduation Date
*
example: 05/30/2018
I would like to arrive in Korea during (Month/Year)
*
Please use this space to describe why you would like to be a Missionary Teacher in Korea
*
Signature
*
For More Information Contact: Norma Shepherd Email - koreanmission.ok@gmail.com Phone: 405-761-0655
Submit
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