Missionary Application Form (STAGE 1)

Stage 1: Missionary Application

Please complete the form below to apply for your missionary placement with Japan Kingdom Church!
Name of organization for application at Japan Kingdom Church: Japan Kingdom Builders, Inc
Please note that this application doesn't automatcally approve your application. Applications are approved following an interveiw screening with missions staff after filling out this application.
Please clarify your preference for length of placement. *
Personal Information
Full Name:*

First NameMiddle NameLast Name
Birth Date:*

MonthDayYear
Age:*
Current / Permanent Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address:*
example@example.com
Phone Number:*
Nationality: blanks* Place of Birth: blank*
Home Town/City: blanks*
Gender*

MaleFemale
Marital Status*

SingleMarriedEngagedEver DivorcedWidowed
Social Media Handles*
Facebook, Instagram, X (Twitter)
Where will you be staying while in Japan*
Accommodation / Hotel name and location
Earliest arrival date to Japan:*

MonthDayYear
Date
Ideal length of stay:*
Please specify how many Days, Weeks, Months or Years.
Full Name of Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Emergency Contact Email Address*
example@example.com
Address of Emergency Contact

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Education

List School, College, University, Bible School starting with your most recent (leave an "N/A" in the field if you dont have an entry):

Employment / Self-Employment History

Please list at TWO of you're previous places of employment (leave a “N/A” in the field if you don’t have an entry):

Personal / Professional Reference

One reference should be your current Pastor/Leader/Covering. The other can be an employer, doctor, or friend who has known you for a minimum of 2 years:
Full Name: *
Relationship: Pastor*
Phone number: Phone Number*
Email Address: Email*
Full Name: *
Relationship: *
Phone number: Phone Number*
Email Address: Email*

Ministry Information
Please input the required information regarding your
"Sending Church/Organization"

Details of the Church you regularly attend:*

	Current Church Details
Name of the Church:
Denomination:
Minister's name:
Church Address:
Telephone Number:

Is your current Pastor aware and supportive of this application for you to be a missionary in Japan?*

List any regular Christian activities you have been involved in at Church or in any Christian Organisations*

	Church or Organization	Activities or Responsibilities
Date (from-until):
Date (from- until):
Date (from-until):

Your Personal Faith
Please give a brief account of your conversion into the Christian faith and growth as a Christian:*
What, if any, cross-cultural experience do you have, either overseas or in Japan?*
In what ways have you helped others to a personal committment to Christ?*
What are the biggest current challenges in your growth as a Christian?*

Write a short statement summarising what you believe on each of the following:*

	My Belief/Statement:
The Bible:
The person & work of Jesus Christ:
The Holy Spirit:

Placement Matters
Missionaries on staff at Japan Kingdom Builders.Inc "exclusively" serve at Japan Kingdom Church. Are you willing to serve your "Sponsored church" in Japan exclusively?*

YesNot sure
If not, please indicate your reason*
How will you be financially supported while serving as a Missionary in Japan?*
Please indicate approximately how much per month you will receive, equivalent to Japanese Yen (Required by Tokyo Immigration)*
Please indicate method of payment (Required by Tokyo Immigration)*
Do you intend on applying for, or using, credit cards or loans in order to fund the placement?*
What is your native language*
What is your Japanese Language Level*
Have you lived in or visited Japan before?*

YesNo
Please indicate when you lived or visited Japan

Video Upload
Please answer the following questions in your video upload:

1) Why Japan?

2) Why Japan Kingdom Church?
Your video testimony upload should be clear in visual and audio.*

Cancelof
How did you hear about us*

Declaration
I declare that the above information given is correct and true, to the best of my knowledege and belief. Should any of my circumstances change, that may affect my placement, I will ensure to communicate these changes to Japan Kingdom Church in a timely manner.
Signature

Clear
Should be Empty:

	Name of School/College/University	Location	Subject	Award
Date:
Date:
Date
Date:
Date:

Stage 1: Missionary Application

Personal Information

Education

Employment / Self-Employment History

Personal / Professional Reference

Ministry Information

Your Personal Faith

Placement Matters

Video Upload

Declaration