Campus Target Application

Campus Target Application

We are excited that you are interested in being a part of Campus Target! Please answer all questions truthfully and to the best of your knowledge.
Personal Information

CT values your privacy and the information you share with us. Please know that your personal details will only be shared with necessary leaders.
1. Your Name*

First NameMiddle NameLast Name
Which semester are you considering going to Asia?*
2. Birth Date*

MonthDayYear
3. Gender*

MaleFemale
Do you have a valid driver's license?

YesNo
4. Citizenship*
5. Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
6. Permanent Mailing Address (i.e. parents' address or alternative residence where you receive mail)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
7. E-mail*
example@example.com
8. Primary phone number*
9. Other phone number
10. Marital Status*
11. Are you currently in a dating relationship?*

YesNo
12. Are you engaged?*

YesNo
13. Have you ever been divorced?*

YesNo
14. Have you ever been separated?*

YesNo
15. Please upload a recent picture of just you. We'd like to see your face!*

Cancelof
Parent Information (in case of emergency)
1. Father's Full Name*

First NameLast Name
2. Father's Phone Number*
3. Father's E-mail Address*
example@example.com
4. Mother's Full Name*

First NameLast Name
5. Mother's Phone Number (if different from above)
6. Mother's E-mail Address*
example@example.com
7. Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
8. Additional Address (if parents do not share an address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
9. My parents are:*

MarriedDivorced/SeparatedNever Married
Educational Background/Training and Work History

1. High school(s) and college(s) attended, degrees received:

	Name of School	Major	Graduation Date	Degree Received
1.
2.
3.
4.
5.

2. If you are in school now, when will you graduate?

3. Employment history:

	Name of Employer	Job Title	Dates Employed	Degree of Satisfaction (1 being lowest, 10 being highest)
1.
2.
3.
4.
5.
6.

4. Do you have any unique skills, work experience, or gifting (play guitar, create websites, photography, administration, mechanical skills, dance, etc.)*
Spiritual Background and Personal Ministry Experience
1. Name of your local church:*
2. Church Denomination:*
3. Name of Pastor:*
4. Years Attended:*
5. Church Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
6. Church Phone Number:*
7. Have you put your faith in Christ? (Rom 10:8-11)*

YesNo
8. Have you been baptized in water since you became a Christian?*

YesNo
9. If the answer is no, why not?
10. Have you been baptized in the Holy Spirit?*
11. Do you believe the Lord still works in miracles?*
12. Do you believe that God can work through you to do miracles?*

13. Give a brief history of any Christian ministry experience, salaried or non-salaried.

	Type of Ministry	When	Where	Degree of Satisfaction (1 being lowest, 10 being highest)
1.
2.
3.
4.
5.

14. Tell us about an opportunity you’ve had to share your faith with someone.*
15. Are you (or have you been) involved in discipling others? Please describe.*
16. Who has discipled/mentored you? What have you learned from that relationship and what is the fruit in your life?
17. Please check any spiritual gifts you use on a regular basis.

AdministrationApostleDiscernmentEncouragementEvangelismGivingHealingHospitalityLeadershipMercyProphecyServingTeachingSpeaking in tonguesTongues Interpretation
Personal Information

Information included in this section will not automatically cause us to reject your application. It's for us to better understand how you could react to living in China.
1. Do you have any ongoing or recurring health/dental problems? If yes, please explain.*
2. A day in the life of China will include a lot of physical activity. This could include: living on the ninth floor without an elevator, walking 2 miles, taking 45-90 min bus rides, being on your feet for most of the day. Would this be a problem for you?*

YesNo
3. Do you have any physical or mental limitations that we should know about? If yes, please explain.*
4. Are you currently on any medications? If yes, please explain.*
5. Are there any medications (such as allergy meds or Insulin) you will need to buy or have available to use in Asia?*
6. Have you been on any antidepressants or psychiatric medications in the past 18 months? If yes, please explain.*
7. Have you ever received professional counseling for emotional or psychological problems? If yes, please explain why you sought counseling and the result.*
8. Are you currently or have you ever struggled with any of these behaviors?*

Substance abuseEating disorders (anorexia, bulimia, binge eating, etc.)Sexual sin (masturbation, pornography, etc.)Self-destructive behaviors (self-harm, co-dependence, etc.)Other (gambling, movies, video games, etc.)None of the above
9. If yes, what have you done or are currently doing to remain free from these behaviors?
10. Are you currently or have you ever struggled with same-gender attraction?*

YesNo
11. If yes, how are you dealing with this now?
12. Have you ever been convicted of a misdemeanor or felony? If yes, please explain.*
13. Have you ever used or currently use tobacco products?*
14. Have you ever used illegal drugs? If yes, when? Please explain.*
15. Do you drink beer, wine or other alcoholic beverages?*
16. If yes, how often?
17. Please list the amount of student loans you have:*
18. Please list the amount of any other debt (car, mortgage, credit cards, personal loan, etc.):
19. Is anyone dependent on you for support? If yes, please explain.*
20. Please list any skills, gifts, talents, training, hobbies, etc. that you have (e.g. playing guitar, crafts, sign language):*
21. List any languages in which you are fluent:
22. Describe any cross-cultural experiences you have had:*
23. Have you discussed your desire to become a missionary with your pastor?*
24. What was his/her reaction?*
25. Have you discussed your desire to become a missionary with your parents?*
26. Do they approve of you taking this step? If no, please explain.*
26. Please describe your personal devotional life.*
Personal and Christian Convictions
1. How did you hear about Campus Target?*
2. What is your understanding of Campus Target's mission and purpose?
3. Why do you want to go to Asia with Campus Target?*
4. How do you think you will fit in with Campus Target’s method of relationship evangelism?*
5. Briefly describe your family life and relationship with your parents/siblings.*
6. Please describe when and how you became a Christian.*
7. How do you feel the Lord is preparing you for missionary service?*
8. Briefly describe (in your own words) your beliefs on the Bible.*
9. Briefly describe (in your own words) your beliefs on your concept of God.*
10. Briefly describe (in your own words) your beliefs on Jesus Christ.*
11. Briefly describe (in your own words) your beliefs on The Holy Spirit's person, ministry and gifts.*
12. Briefly describe (in your own words) your beliefs on the Church.*
You are applying to be a volunteer with Campus Target for 9 months. There is no promise of salary or future employment.
By submitting this application I affirm that all the information is accurate to the best of my knowledge.*

Yes, it is accurate.
Should be Empty:

Campus Target Application

Personal Information

Parent Information (in case of emergency)

Educational Background/Training and Work History

Spiritual Background and Personal Ministry Experience

Personal Information

Personal and Christian Convictions