Mission Staff Information Sheet

Name of Affiliated Mission Organization*
MFI Assigned Mission ID*
Name:*

PrefixFirst NameLast Name
Date of Birth:*

MonthDayYear
Passport #:
E-mail Address:*
Telephone Numbers (US and field):*
Telephone Numbers (US and field):
Permanent Stateside Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Field Address (e.g. RN1, Cap-Haitien, Haiti):

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Marital Satus:*

SingleMarried
Spouse's Name

First NameLast Name
Spouse's Date of Birth

MonthDayYear
Date
Spouse's Passport #
Will there be children serving with you?*

YesNo
Please enter the children's information below.
What date do you desire to begin services with MFI?*

MonthDayYear
The MFI Statement of Faith, Statement of Policy, and Position Statement are found below this form. Please read all three statements and indicate if you agree with them.
Do you agree with both the MFI Statement of Faith and Statement of Policy?

YESNO
Do you agree with the MFI Position Statement?

YESNO
Please explain why you answered "No" to either of the above questions.
Should be Empty: