Member Application

Member Application

Globe International Candidate School
IMPORTANT INFORMATION before beginning this form :

Only use the form's back button if you wish to go back (located at the bottom of the section). Using the browser's back button will result in the form starting over at the beginning.

Please be sure to put in your contact information before saving and leaving the form.
Personal Information
Full Name *

First Name Middle Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *
E-mail *
example@example.com
Skype or other
Birth Date *

Month Day Year
Place of Birth *
Citizenship (Nationality) *
State Driver's License
License#, State, Expiration
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Family Information
Please state names, gender, birth dates of children, and which children will be going to the field
Ex. John Doe, Male, 04/24/1994, Going to the field
Are you (or your spouse) expecting a child? *

yes no
If yes, when is the baby due? *
Are there any concerns (health, finances, legal issues, etc.) with your family (children, spouse, parents, etc.) that may affect your service plans? *

yes no
If yes, please explain the concern below *
In case of emergency, person to notify in the U.S.A. *

First Name Last Name
Relationship to Individual *
Emergency Contact's Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Emergency Contact's Phone Number *
Please enter a valid phone number.
Emergency Contact's Email *
example@example.com
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Medical Information
Is your present health good? *

yes no
When requested, would you be willing to provide a current medical report or letter from your primary physician for all members of your family who will be going to the field? *

yes no
Do you have any medical, emotional or physical concerns that might affect your service, about which Globe should be aware? *

yes no
If YES, please explain. (At the time of Orientation, all approved candidates must provide a current physical exam report from a physician) *
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CHURCH AFFILIATION

Provide Contact Information From Your Home Church
Senior Pastor

First Name Last Name
Associate Pastor

First Name Last Name
Church Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone
Please enter a valid phone number.
Email
example@example.com
Are you a member?

yes no
If yes, for how long have you been a member?
If less than one year, please provide information about your prior church affiliation, pastor, church membership, and explain the reason for your change.
Describe your church affiliation, attendance habits, and relationship with your pastor or spiritual mentor.
Are you Ordained

yes no
If yes, when and by what organization
Are you Licensed?

yes no
If yes, when and by what organization?
Note: In a career assignment, Globe requires ministry ordination or licensing. When the time comes, Globe suggests you pursue ordination first through your home church or fellowship of ministers. If this is not possible, Globe can discuss alternate options with you.
Have you ever had your credentials revoked?

yes no N/A
If yes, what were the circumstances?
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YOUR CALL TO SERVICE & COMMITMENT TO GLOBE
Write your testimony: your salvation experience and call to ministry.
Explain in as much detail as you can, your vision to serve. Include here details about the service location (community, nation) you want to serve in, the people with whom you plan to work, how you came to know them, how long you envision being “on mission,” your particular gifts and interests in ministry, and any job assignment that you hope to have.
Why do you want to affiliate with Globe International?
If you are undecided or uncertain about any of these things, and are seeking direction from God and/or Globe, please indicate this (we can help you with the process and assist you in finding a suitable assignment).
Do you hope to enter a career in ministry?

yes no uncertain
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REFERENCES

Provide 4 personal references, if possible from the following categories
1. Current Pastor

First Name Last Name
Organization/Church Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
2. Teacher or Spiritual Mentor

First Name Last Name
School / Organization
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
3. Friend

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number
Please enter a valid phone number.
Email
example@example.com
4. Employer

First Name Last Name
Organization / Business
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
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Section 1 of 13