AGWM Application

AG World Missions

Application (MAPS, MA, and CAREER)

We are excited you are taking your next steps to explore God's calling through Assemblies of God World Missions

As you begin your application, you'll never be journeying alone. Your personal Application Specialist will guide you throughout the process, answering questions and providing support every step of the way.

MAPS (Missions Abroad Placement Services) Serve 91-364 days	MA (Missionary Associate) Serve 365 days –2 years	CAREER (Lifetime) Serve 2+ years
18+ years old U.S. citizen or able to work in the U.S. Born-again Christian, actively growing in faith Consistent in personal devotions Faithful to a local church	18+ years old U.S. citizen or valid resident alien permit Born-again Christian, actively growing in faith Consistent in personal devotions Faithful to a local church Limited personal debt	18+ years old U.S. citizen or valid resident alien permit Born-again Christian, actively growing in faith Consistent in personal devotions Faithful to a local church Limited personal debt

Application Choice*
Desired Length of Assignment
MAPS: 91-364 Days | MA: 365 Days - 2 Years
Region Applying To*
Country Applying To*
Have you previously served with AGWM?*
YesNo
YesNo
Inviting Global Worker Name

First NameLast Name

Current or Previous Term Information
Term Begin Date

MonthDayYear
Date
Term End Date

MonthDayYear
Date
Region currently/previously with
YesNo
Area Director

First NameLast Name
Area Director Email
example@example.com
Team Leader

First NameLast Name
Team Leader Email
example@example.com

Applicant Contact Information
Legal Name*

First NameMiddle NameLast Name
Phone Number*
Best Contact Phone NumberFormat: (000) 000-0000.
Email*
Best Contact Email Address
Permanent Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Applicant Profile Information
Date of Birth*

MonthDayYear
Date
Gender*
Race*
Race: Self-Describe
Marital Status*
Have you or your spouse (if currently married), previously been divorced?*
Wedding Date/Anniversary

MonthDayYear
Date
Maiden Name/Spouse Maiden Name
If Applicable
Divorce Information
Resident Type*
YesNo
What country do you hold dual citizenship with?
Country of Citizenship*
Country of Birth*
Update if other than United States
Birth City*
Birth State*
Military Service*
Branch of Service
YesNo
Other Languages Spoken
Do you have any allergies?
(e.g., food, medication, environmental)

Emergency Contacts

Please list your emergency contacts other than your spouse.
Emergency Contacts*
Beneficiary Contacts
Beneficiary Contacts*

Spouse Information
Spouse: Legal Name

First NameMiddle NameLast Name
Spouse: Phone Number
Best Contact Phone NumberFormat: (000) 000-0000.
Spouse: Email
Best Contact Email Address.
Spouse: Date of Birth

MonthDayYear
Date
Spouse: Gender
Spouse: Race
Spouse: Race: Self-Describe
Spouse: Resident Type
YesNo
Spouse: What country do you hold dual citizenship with?
Spouse: Country of Citizenship
Spouse: Country of Birth
Update if other than United States
Spouse: Birth City
Spouse: Birth State
Spouse: Military Service
Spouse: Branch of Service
YesNo
Spouse: Other Languages Spoken
Spouse: Do you have any allergies?
(e.g., food, medication, environmental)
Spouse: Have you previously served with AGWM?
YesNo

Spouse: Current or Previous Term Information
Spouse: Term Begin Date

MonthDayYear
Date
Spouse: Term End Date

MonthDayYear
Date
Spouse: Region currently/previously with
YesNo
Spouse: Area Director

First NameLast Name
Spouse: Area Director Email
example@example.com
Spouse: Team Leader

First NameLast Name
Spouse: Team Leader Email
example@example.com

Child/Children Information

*If adopted, this designation will be noted for tax, business, and benefit purposes, with specific details to be discussed and determined at a later date.

Spouse: Emergency Contacts

Please list your emergency contacts other than your spouse.
Emergency Contacts
Spouse: Beneficiary Contacts
Beneficiary Contacts

Personal History

Education, Housing, Work, Etc.
Education: Please provide your education history, beginning with high school.*
List any special training you have completed, where and when.
If Applicable
Housing: Please provide addresses for the past 5 years.*
Employment: Please provide your employment history.*
YesNo
If yes, please explain.

Spouse: Personal History

Education, Housing, Work, Etc.
Spouse: Education: Please provide your education history, beginning with high school.
Spouse: List any special training you have completed, where and when.
If Applicable
Married less than 5 years.Married longer than 5 years.
Spouse: Housing: Please provide addresses for the past 5 years.
Spouse: Employment: Please provide your employment history.
YesNo
Spouse: If yes, please explain.

Financial Information
Will you be entirely self-funded?*
Do you have financial responsibilities for parents or other relatives?*
If yes, please explain.
Have you/or your spouse (if applicable) ever opted out of paying social security?
Do you currently have a 501(c)(3)?*
AGWM's 501(c)(3) Policy

Why does AGWM disallow missionaries from having their own 501(c)(3) (not-for-profit) ministry?
1. Primarily, it is an issue of divided allegiance. When the board of an independent nonprofit determines the assignment for a missionary, how does that match with the AGWM assignment if that person is not compatible? Who makes the final determination? To whom is the missionary ultimately accountable?
2. AGWM missionaries (singles and couples) are appointed with the expectation that they will devote their full time to the work of the ministry to which they are called and assigned. If there are two organizations making demands on the missionary, how are AGWM’s expectations met?
3. AGWM missionaries are fairly compensated (singles and couples) based on the long-established standards and a fairness doctrine that determines adequate compensation given the missionary’s longevity and family composition, cost of living in the host country, and work needs. Additional compensation from a separate nonprofit creates class distinctions and inequities among missionaries both in the same location and worldwide.
4. Travel, children’s education, and a myriad of other decisions are made in cooperation between the missionary and his/her field team, the area director, the regional director, and the AGWM Executive Committee following the AGWM policies and procedures. Introducing an additional element into that process by including another nonprofit is a complication that history has shown to be troublesome and, at times, very disruptive to the missionary’s life and work
If you currently have a 501(c)(3), - please read AGWM's policy regarding the 501(c)(3). Then indicate that you have read and agree with the policy.
YesNo

Church Information
Church Name*
Church Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Church Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNoUnsure
How long have you attended this church?*
If under a year of attendance, previous church information will be required.
Church AG District
Previous Church Name
Previous Church Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Previous Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
YesNoUnsure
Previous Church AG District
Date of Salvation*

MonthDayYear
Approximate Date
Do you hold credentials with the Assemblies of God?*
Credentialing District
YesNo
Date of being filled with the Holy Spirit*

MonthDayYear
Approximate Date
Please give a brief summary of your personal devotional time/relationship with the Lord.*
Please give a brief summary of your ministry background.*
What church responsibilities/positions have you held, such as Sunday school, youth, etc.?*
List special activities in which you have participated, such as Teen Challenge, AIM, HealthCare Ministries, or other witnessing programs.*

Spouse: Church Information
Spouse: Date of Salvation

MonthDayYear
Approximate Date
Spouse: Do you hold credentials with the Assemblies of God?
Spouse: Credentialing District
YesNo
Spouse: Date of being filled with the Holy Spirit

MonthDayYear
Approximate Date
Spouse: Please give a brief summary of your personal devotional time/relationship with the Lord.
Spouse: Please give a brief summary of your ministry background.
Spouse: What church responsibilities/positions have you held, such as Sunday school, youth, etc.?
Spouse: List special activities in which you have participated, such as Teen Challenge, AIM, HealthCare Ministries, or other witnessing programs.

References

References chosen will need to know you very well to provide the detailed reference required.
Reference Submission Process:

Once your application is submitted, the references listed below will receive an email requesting them to complete a reference form. Please inform and remind your references that this form will be sent to them, as their responses are required to complete your application. If needed, reference forms can be re-sent.

Reference Requirements:
- Pastor/Campus Pastor
- Employer/Supervisor
- Two (2) additional references (Friend, Educator, Employer/Co-Worker)
- All references must have known the applicant for at least one (1) year.
Assemblies of God World Missions (AGWM) personnel cannot serve as references. If you wish to include an AGWM individual as an additional reference, please make a note below.
Reference 1 - Pastor - Name*

First NameLast Name
Reference 1 - Email*
example@example.com
Reference 1 - Reference Type*
Reference 2 - Employer/Supervisor - Name*

First NameLast Name
Reference 2 - Email*
example@example.com
Reference 2 - Reference Type*
Reference 3 - Name*

First NameLast Name
Reference 3 - Email*
example@example.com
Reference 3 - Reference Type*
Reference 4 - Name*

First NameLast Name
Reference 4 - Email*
example@example.com
Reference 4 - Reference Type*
YesNo

Spouse: References
Reference Submission Process:

Once your application is submitted, the references listed below will receive an email requesting them to complete a reference form. Please inform and remind your references that this form will be sent to them, as their responses are required to complete your application. If needed, reference forms can be re-sent.

Reference Requirements:
- Pastor/Campus Pastor
- Employer/Supervisor
- Two (2) additional references (Friend, Educator, Employer/Co-Worker)
- All references must have known the applicant for at least one (1) year.
Assemblies of God World Missions (AGWM) personnel cannot serve as references. If you wish to include an AGWM individual as an additional reference, please make a note below.
Spouse: Reference 1 - Pastor - Name*

First NameLast Name
Spouse: Reference 1 - Email*
example@example.com
Spouse: Reference 1 - Reference Type*
Spouse: Reference 2 - Employer/Supervisor - Name*

First NameLast Name
Spouse: Reference 2 - Email*
example@example.com
Spouse: Reference 2 - Reference Type*
Spouse: Reference 3 - Name*

First NameLast Name
Spouse: Reference 3 - Email*
example@example.com
Spouse: Reference 3 - Reference Type*
Spouse: Reference 4 - Name*

First NameLast Name
Spouse: Reference 4 - Email*
example@example.com
Spouse: Reference 4 - Reference Type*
YesNo

Policies and Statements
I, {name}, IN CONSIDERATION of my acceptance as a volunteer on this missionary trip in cooperation with the Assemblies of God, and other considerations the sufficiency of which is acknowledged, represent and agree that:

1. Status
I am a volunteer and/or self-employed worker and acknowledge that I am not traveling as an employee of the General Council of the Assemblies of God.

I attest and certify that I am physically fit and have no medical conditions that would prevent me from participating in the above-referenced activity.

2. Risks of international travel; U.S. State Department and CDC warnings.
I am aware of the hazards and risks to my person and property associated with serving in a missions capacity, such hazards and risks including but not being limited to injury, increased stress, accident, disease; inadequate medical services and supplies; death; criminal acts (including terrorism); natural disasters; weather conditions; government action; risks of traveling to or from international destinations; and foreign political, legal, medical, social, and economic conditions. The country or countries to which I will travel may have health and safety standards that differ from those enjoyed in the United States, and I recognize that I may be subjected to potential risks, illnesses, injuries, and even death. I have made my own investigation of these risks, understand these risks, and assume them knowingly and willingly. I further recognize that such risks have always been associated with missionary service. (2 Corinthians 11:23-28)

I also acknowledge that in working, living, and traveling in cities abroad, I may experience problems associated with urban living, including increased crime, pollution, high population density, or standards of living and health standards that are different from those to which I am accustomed in the United States. I acknowledge that it is my responsibility to take every precaution to safeguard my health and to protect my personal belongings from damage or theft. I acknowledge that Assemblies of God recommends that I never travel alone, particularly at night. Being alone, especially at night, may present additional danger to my safety and well-being.

I have read and understood all information on the U.S. State Department website (travel.state.gov) about the country or countries to which I am traveling, including, without limitation, the U.S. Department of State Consular Information Sheet and the State Department Warning (if applicable). I also have reviewed the U.S. Centers for Disease Control health advisory information relating to travel abroad found at cdc.gov/travel, and any additional information available from the World Health Organization website (who.int) and Travel.State.Gov.

I understand and agree that, during my participation in the above-described activities, the travel leader learns that I am experiencing serious health problems, have suffered an injury, or am otherwise in a situation that raises significant health and safety concerns, then the travel leader may contact the person whose name I have provided as my "emergency contact." I understand that the travel leader ordinarily will not initiate such contact without first having a discussion with me.

3. GENERAL RELEASE AND ASSUMPTION OF RISK:
KNOWING THE RISKS DESCRIBED ABOVE, I AGREE, ON BEHALF OF MY FAMILY, HEIRS, AND PERSONAL REPRESENTATIVES, TO ASSUME ALL THE RISKS AND RESPONSIBILITIES SURROUNDING MY PARTICIPATION IN THE ABOVE-DESCRIBED ACTIVITIES, BOTH KNOWN AND UNKNOWN. TO THE MAXIMUM EXTENT ALLOWED BY LAW, I RELEASE, HOLD HARMLESS, AND AGREE TO INDEMNIFY THE GENERAL COUNCIL OF THE ASSEMBLIES OF GOD, AND ITS AFFILIATED MINISTRIES, AND ANY ASSEMBLIES OF GOD CHURCH AND/OR DISTRICT COUNCIL, AND ANY ASSEMBLIES OF GOD SCHOOL, COLLEGE OR UNIVERSITY, AND THEIR OFFICERS, DIRECTORS, EMPLOYEES, VOLUNTEERS, AND AGENTS, FROM AND AGAINST ANY PRESENT OR FUTURE CLAIMS, LOSSES, LIABILITIES, COSTS AND EXPENSES FOR INJURY TO PERSON OR PROPERTY, OR FOR ANY OTHER DAMAGE, WHICH I MAY SUFFER, OR FOR WHICH I MAY BE LIABLE TO ANY OTHER PERSON, RELATED TO MY PARTICIPATING IN SAID ACTIVITIES (INCLUDING PERIODS IN TRANSIT TO OR FROM MY DESTINATIONS), RESULTING FROM ANY CAUSE, INCLUDING BUT NOT LIMITED TO NEGLIGENCE ON MY PART OR ON THE PART OF ANY OF THE RELEASED PARTIES; PROVIDED THAT THIS RELEASE OF LIABILITY SHALL NOT APPLY TO GROSS NEGLIGENCE OR WILLFUL OR WANTON MISCONDUCT.

4. Minor Children
In the event that I have minor children who will accompany me on my assignment, I, acting both on my own behalf and on their behalf as their parent and legal guardian, do hereby assume all risks of death, illness, or injury that they may suffer as a result of said assignment, from those causes described above.

5. Ransom Policy
I understand and accept the following policy regarding ransom payments:

"The World Missions Board has determined that the General Council of the Assemblies of God will not pay ransom or yield to the demands of anyone who takes one of our missionary family or staff hostage. General Council of the Assemblies of God pledges itself to every effort in prayer and will take all reasonable steps to secure the release of any member held hostage and/or detained. General Council strongly opposes the payment of any extorted commodities or service and will not pay expenses incurred by captors. General Council will not permanently concede land or remove missionaries from ministry locations as a part of any negotiated settlement with hostage takers. General Council believes that this approach helps reduce the risk of General Council personnel being targeted for kidnapping and was made after sufficient study of the policies of other evangelical missionary agencies and after considering the advice of the United States State Department."

6. Legal Commitment
I expressly waive any defense to the enforcement of any provision of this commitment arising from a claim of lack of consideration and warrant that this commitment constitutes a legal, valid, and binding obligation upon me enforceable against me in accordance with its terms.

7. Acknowledgment of Agreement
I expressly agree that this assumption of risk, release, and indemnity agreement is intended to be as broad and inclusive as permitted by law. I further state that I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND ITS CONTENTS, AND I VOLUNTARILY SIGN THIS AGREEMENT AS MY OWN FREE ACT.

I certify that I am age 18 or older and understand and agree that no oral or written representations can or will alter the contents of this document. This Agreement shall be governed and construed in accordance with the laws of the State of Missouri, including choice of law rules, and any claims relating to or arising out of this Agreement, including claims for injuries or wrongful death in any way related to the above-described activities, shall likewise be governed by the laws of the State of Missouri, except its choice of law rules.

A digital reproduction of this authorization shall have the same authority as the original.
Applicant Signature

Spouse: Policies and Statements
I, {spouseLegal}, IN CONSIDERATION of my acceptance as a volunteer on this missionary trip in cooperation with the Assemblies of God, and other considerations the sufficiency of which is acknowledged, represent and agree that:

1. Status
I am a volunteer and/or self-employed worker and acknowledge that I am not traveling as an employee of the General Council of the Assemblies of God.

I attest and certify that I am physically fit and have no medical conditions that would prevent me from participating in the above-referenced activity.

2. Risks of international travel; U.S. State Department and CDC warnings.
I am aware of the hazards and risks to my person and property associated with serving in a missions capacity, such hazards and risks including but not being limited to injury, increased stress, accident, disease; inadequate medical services and supplies; death; criminal acts (including terrorism); natural disasters; weather conditions; government action; risks of traveling to or from international destinations; and foreign political, legal, medical, social, and economic conditions. The country or countries to which I will travel may have health and safety standards that differ from those enjoyed in the United States, and I recognize that I may be subjected to potential risks, illnesses, injuries, and even death. I have made my own investigation of these risks, understand these risks, and assume them knowingly and willingly. I further recognize that such risks have always been associated with missionary service. (2 Corinthians 11:23-28)

I also acknowledge that in working, living, and traveling in cities abroad, I may experience problems associated with urban living, including increased crime, pollution, high population density, or standards of living and health standards that are different from those to which I am accustomed in the United States. I acknowledge that it is my responsibility to take every precaution to safeguard my health and to protect my personal belongings from damage or theft. I acknowledge that Assemblies of God recommends that I never travel alone, particularly at night. Being alone, especially at night, may present additional danger to my safety and well-being.

I have read and understood all information on the U.S. State Department website (travel.state.gov) about the country or countries to which I am traveling, including, without limitation, the U.S. Department of State Consular Information Sheet and the State Department Warning (if applicable). I also have reviewed the U.S. Centers for Disease Control health advisory information relating to travel abroad found at cdc.gov/travel, and any additional information available from the World Health Organization website (who.int) and Travel.State.Gov.

I understand and agree that, during my participation in the above-described activities, the travel leader learns that I am experiencing serious health problems, have suffered an injury, or am otherwise in a situation that raises significant health and safety concerns, then the travel leader may contact the person whose name I have provided as my "emergency contact." I understand that the travel leader ordinarily will not initiate such contact without first having a discussion with me.

3. GENERAL RELEASE AND ASSUMPTION OF RISK:
KNOWING THE RISKS DESCRIBED ABOVE, I AGREE, ON BEHALF OF MY FAMILY, HEIRS, AND PERSONAL REPRESENTATIVES, TO ASSUME ALL THE RISKS AND RESPONSIBILITIES SURROUNDING MY PARTICIPATION IN THE ABOVE-DESCRIBED ACTIVITIES, BOTH KNOWN AND UNKNOWN. TO THE MAXIMUM EXTENT ALLOWED BY LAW, I RELEASE, HOLD HARMLESS, AND AGREE TO INDEMNIFY THE GENERAL COUNCIL OF THE ASSEMBLIES OF GOD, AND ITS AFFILIATED MINISTRIES, AND ANY ASSEMBLIES OF GOD CHURCH AND/OR DISTRICT COUNCIL, AND ANY ASSEMBLIES OF GOD SCHOOL, COLLEGE OR UNIVERSITY, AND THEIR OFFICERS, DIRECTORS, EMPLOYEES, VOLUNTEERS, AND AGENTS, FROM AND AGAINST ANY PRESENT OR FUTURE CLAIMS, LOSSES, LIABILITIES, COSTS AND EXPENSES FOR INJURY TO PERSON OR PROPERTY, OR FOR ANY OTHER DAMAGE, WHICH I MAY SUFFER, OR FOR WHICH I MAY BE LIABLE TO ANY OTHER PERSON, RELATED TO MY PARTICIPATING IN SAID ACTIVITIES (INCLUDING PERIODS IN TRANSIT TO OR FROM MY DESTINATIONS), RESULTING FROM ANY CAUSE, INCLUDING BUT NOT LIMITED TO NEGLIGENCE ON MY PART OR ON THE PART OF ANY OF THE RELEASED PARTIES; PROVIDED THAT THIS RELEASE OF LIABILITY SHALL NOT APPLY TO GROSS NEGLIGENCE OR WILLFUL OR WANTON MISCONDUCT.

4. Minor Children
In the event that I have minor children who will accompany me on my assignment, I, acting both on my own behalf and on their behalf as their parent and legal guardian, do hereby assume all risks of death, illness, or injury that they may suffer as a result of said assignment, from those causes described above.

5. Ransom Policy
I understand and accept the following policy regarding ransom payments:

"The World Missions Board has determined that the General Council of the Assemblies of God will not pay ransom or yield to the demands of anyone who takes one of our missionary family or staff hostage. General Council of the Assemblies of God pledges itself to every effort in prayer and will take all reasonable steps to secure the release of any member held hostage and/or detained. General Council strongly opposes the payment of any extorted commodities or service and will not pay expenses incurred by captors. General Council will not permanently concede land or remove missionaries from ministry locations as a part of any negotiated settlement with hostage takers. General Council believes that this approach helps reduce the risk of General Council personnel being targeted for kidnapping and was made after sufficient study of the policies of other evangelical missionary agencies and after considering the advice of the United States State Department."

6. Legal Commitment
I expressly waive any defense to the enforcement of any provision of this commitment arising from a claim of lack of consideration and warrant that this commitment constitutes a legal, valid, and binding obligation upon me enforceable against me in accordance with its terms.

7. Acknowledgment of Agreement
I expressly agree that this assumption of risk, release, and indemnity agreement is intended to be as broad and inclusive as permitted by law. I further state that I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND ITS CONTENTS, AND I VOLUNTARILY SIGN THIS AGREEMENT AS MY OWN FREE ACT.

I certify that I am age 18 or older and understand and agree that no oral or written representations can or will alter the contents of this document. This Agreement shall be governed and construed in accordance with the laws of the State of Missouri, including choice of law rules, and any claims relating to or arising out of this Agreement, including claims for injuries or wrongful death in any way related to the above-described activities, shall likewise be governed by the laws of the State of Missouri, except its choice of law rules.

A digital reproduction of this authorization shall have the same authority as the original.
Spouse Signature

Application Submission

We prayerfully join you as you submit this application.
Please verify that you are human*
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AG World Missions

Current or Previous Term Information

Applicant Contact Information

Applicant Profile Information

Emergency Contacts

Beneficiary Contacts

Spouse Information

Spouse: Current or Previous Term Information

Child/Children Information

Spouse: Emergency Contacts

Spouse: Beneficiary Contacts

Health Information & Safety

Spouse: Health & Safety

Personal History

Spouse: Personal History

Financial Information

Church Information

Spouse: Church Information

References

Spouse: References

Policies and Statements

Spouse: Policies and Statements

Application Submission