Regions Beyond USA "Purposed"
Thank you for your interest in serving the Regions Beyond USA churches through "Purposed." Please fill in the form below and we will be in touch with you! * Requirements for the program: * - High school diploma or equivalent - Passing the interview process - Medical insurance required - Fundraising highly recommended** - If you are able to work in the USA, having a part time job may be required * Applicants should apply as early as possible to ensure they can start in September. VISAs, flights, living arrangements, as well as organizing placements take time so please apply several months in advance. * If you have any questions about the application, please email Buck Rodolph at buck@revivemt.org
Name
First Name
Middle Name
Last Name
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
Please Select
Male
Female
N/A
Address
Street Address
Street Address Line 2
City
State / Province
Country / Postal Zip Code
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Current Church
Do you have a preference which Regions Beyond USA church you serve in?
No preference
Yes (please indicate below)
Preferred Church to Serve
Please Select
Destination Church (Spokane, Washington)
Jacob's Well (Spokane, Washington)
Revive Church (Missoula, Montana)
Revive Bitterroot (Stevensville, Montana)
Anything we should know about your church preference?
Brief Testimony - Tell us about who you are, how you came to know Jesus, and why you'd like to serve
Preferred Ministry Focus - what type of ministries would you be most excited to serve in? (worship, youth, outreach, church operations, teaching, etc.)
What are you hoping to get out this experience?
What do you hope to do after this experience?
What are your greatest fears or reservations when it comes to this opportunity?
Some scholarships may be available, especially for those coming from developing nations. If you are in need of financial support in order to make this opportunity accessible, please explain your situation here:
References
As part of the application process, we would like you to list several references that we can contact. At least one of these references should be a leader or elder within your local church.
Reference #1 Name
First Name
Last Name
Reference #1 Email
example@example.com
Reference #2 Name
First Name
Last Name
Reference #2 Email
example@example.com
Reference #3 Name
First Name
Last Name
Reference #3 Email
example@example.com
Submit Application
Should be Empty: