60 Haight Street, San Francisco, CA 94102 Massah Israel Application

GENERAL INFORMATION

Date:

Date

Full Name:

Date of Birth:

T-shirt size:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Address:

City/State/Zip:

Home phone:

Cell phone:

Email:

Please attach a photo:

Please attach your written testimony, no more than 500 words:

Massah Tier 1 will be from May 28th - June 21st

NYC from Thursday, May 28th- Saturday, May 30th
Israel from Sunday, May 31st - Sunday, June 21st

Massah Tier 2 Extension is an Add-On from June 21st - July 18th

Training, Israel from Sunday, June 21st - Wednesday, June 24th
India from Thursday, June 25th - Saturday, July 18th

Which Tier(s) will you be attending?

FAMILY LIFE

Marital Status:

Name of partner, if applicable:

Is your partner a believer in Jesus?

Does your partner know of this application?

Are they in support of it? Please explain.

My father is:

My mother is:

My father is:

My mother is:

Do your parents know of this application?

Are they in support of it? Please explain.

FAMILIARITY WITH JEWS FOR JESUS

Do you receive any Jews for Jesus publications?

Please list any Jews for Jesus events that you have attended/participated in:

What?/Where?

Do you know any of our staff workers personally?

Please list individuals you know best:

Have you ever participated in any missions projects?

Please explain when, where and how you were involved:

SELF INVENTORY

Do you speak any foreign language(s)?

If yes, please list and describe your level of proficiency:

Do you play an instrument?

If yes, please list and describe your level of proficiency:

Please list any sports, hobbies, or spare-time activities you participate in regularly:

EDUCATION AND WORK EXPERIENCE

Highest level of formal education:

Major/Degree, if any:

Are you currently employed?

If yes, where and how long:

If you are not currently employed what dates were you last employed and where:

MY LIFE AS A CHRISTIAN

When did you become a believer in Jesus?

Do you attend a church/congregation on a regular basis?

If not, please explain:

The congregation I attend is:

Address (Street, City, State, Zip):

Phone:

Email:

Leader's name:

Are you a member?

Have you been baptized?

Would you have difficulty serving together with Christians of other denominations?

Please review our doctrinal statement

Click here to view

Are you in agreement with our doctrinal statement?

If no, please describe any disagreement with what's written or anything you think is missing:

MINISTRY SKILLS - Please select the option that best describes your level of experience with each area of ministry.

Rows	No skills-lack of experience or training	Limited skill-can do if necessary, but w/ difficulty	Moderate Experience-have had some training, but not proficient	Proficient-trained or experienced and able to assume major responsibility
Literature Distribution
Sharing Your Testimony
Jewish Evangelism
Youth/Children"s Activities
Personal Evangelism
Drama Productions
Leading a Bible Study
Preaching
Leading Worship
Event Planning
Community Outreach
Praying Publicly

What would you hope to achieve through your involvement with Jews for Jesus and going to Israel?

Reaching Jewish people with the gospel is important to me because...

Describe something you feel was uniquely Jewish about your upbringing.

What do you feel God has specfically called you to do?

What spiritual gifts do you feel God has given you?

How frequently do you study the Bible?

Please explain:

Describe your prayer life:

Do you financially support any ministries on a regular basis? If so which ones?

HEBREW PROFICIENCY

Rows	None	Beginner	Intermediate	Fluent
Reading in Hebrew
Writing in Hebrew
Speaking in Hebrew

Can you read and write the alef-beit?

GENERAL HEALTH

Massah may be physically demanding. Health conditions will not necessarily disqualify applicants from participating, but must be considered. Please answer all questions in this section.

Rate your general condition of health:

Do you smoke:

Have you abused alcohol or drugs in the past 3 years?

If yes, please explain:

Are you presently under a doctor's care for any health condition?

If yes, please explain:

Are you allergic to any drugs/medications?

Specify:

Are you allergic to any foods or do you avoid certain foods for other reasons?

Specify:

Do you now have, or have you ever had, any of the following?

Explanations for above:

Do you have any other health considerations that we should be aware of? Please explain:

If you take any medication, please state the name and amount:

Have you ever been convicted of a felony?

If yes, please explain:

PASSPORT AND VISA INFORMATION

Country of citizenship:

Name as listed on passport:

City and county where passport was issued:

Passport number:

Passport expiration date:

Do you have any visas?

If so, what type?

Country where visa was issued:

Date visa issued:

Date

Visa expiration date:

Date

Have you ever been denied a passport or visa?

If yes, name the country and provide details:

To what countries have you traveled and for how long?

EMERGENCY CONTACT INFORMATION

Name of emergency contact:

Relationship:

Address:

Phone #:

Email:

REFERENCES - List the name of one pastoral reference AND one elder or mature believing friend whom we can ask to fill out a character reference on your behalf.

Pastoral reference NAME:

Address:

Phone #:

Email:

Elder/Mature believing friend NAME:

Address:

Phone #:

Email:

I feel the liberty of the Holy Spirit to fill out this application and if accepted I intend to serve on the project for which I am applying. I hereby affirm all of the statements in this application are true and understand that any knowing misstatement of the facts can bar further consideration for participation with Jews for Jesus.

Signature

Date:

Date

Massah Project Application

GENERAL INFORMATION