Missionary Application

Missionary Application
Full Name*

PrefixFirst NameLast NameSuffix
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Are you prepared to provide the necessary information to allow us to complete a background checks?*

YesNo
Your Birth-date*

MonthDayYear
Date
Your Social Security Number*
Marital Status*

SingleMarriedDivorcedWidowedDivorced & RemarriedOther
Spouse's Name (Required, if applicable)

First NameLast Name
Spouse's Birth-date (Required, if applicable)

MonthDayYear
Date
Spouse's Social Security Number (Required, if applicable)
If Married, please list the date of your marriage (Required, if applicable)

MonthDayYear
Date
Please list children's names (those under the age of 18), dates of birth, & gender*
If your were referred by someone, please let us know by whom
Medical
Do you or anyone in your immediate family have any physical limitations that would affect your ability to fulfill your responsibilities as a missionary? If so, please explain:*
Do you agree to have a complete physical prior to your leaving for the field at your own expense?*
Do you or a member of your immediate family use tobacco in any form?*

YesNo
Do you or a member of your immediate family consume alcohol or use any illegal drugs for the purpose of recreation?*

YesNo
General
Have you or a member of your immediate family been convicted, sentenced, or jailed for any violation of the law? If yes, please explain: *
Have you had more than two (2) traffic violations within the past 2 years? If so please explain: *
List all civic organizations and/or secret society memberships and position(s) you hold (or held) *
Please list your approximate amount of indebtedness and explain how do you plan to eliminate it: *
Spiritual
Briefly describe your salvation experience. Please include the date you were saved. *
Briefly describe your spouses salvation experience. Please include the date she was saved.
Briefly describe your call to missions *
Do you regularly read your Bible?*
Do you maintain a regular prayer life?*
Do you regularly witness to others, using the Scriptures to attempt to win them to Christ? *
Please provide the name and address of the church in which you are a member of: *
How long have you been a member of said church? Please describe your ministry involvement:*
Please check all that you believe, teach, and preach...*

The verbal inspiration of the ScripturesThe virgin birth of ChristThe vicarious (substitutionary) death of ChristThe victorious resurrection of ChristThe visible return of ChristThe Bible as the sole authority of faith & practiceThe autonomy of the local churchThe priesthood of the believerThe two ordinances (believer’s baptism & the Lord’s supper)Individual soul libertySaved, baptized church membershipTwo offices (pastor & deacon) of the churchSeparation of church and state
Please state your position regarding Bible translations. What Bible translation(s) do you use for study and for preaching (include specific translations used in any language)? Please state your position on Hebrew & Greek manuscripts.*
Do you plan to solicit support from churches other than Baptist churches of like faith and practice? If yes, please explain.*
Do you plan to adhere to the indigenous church planting philosophy? If not, please explain.*
Will you communicate regularly (once a quarter) with churches that support you?*

YesNo
Have you been ordained? If so, when and where was your ordination. If not, does your pastor plan to ordain you*
What specifically has God called you to do in missions?*
What will be your greatest obstacle in missions? *
What will be your greatest strength in missions? *
Please list any mission boards or agencies you have made application with and list any mission boards or agencies you have served under (including dates)? Please explain your reason(s) for leaving. *
Education
What is your highest level of education?*

High School DiplomaBible Certificate2 Year College Degree4 Year College DegreeGraduate DegreeSeminary Degree
Please list your high school alma mater (or date you earned your GED) & include the same information for your spouse*
Please list any college, university, and/or Bible institute's you have attended. Please include graduation date and highest degree earned*
Please list any colleges, universities, Bible institute's your spouse attended. Please include graduation date and highest degree earned*
Employment

Please list your employment for the past five (5) years with the name of your employer, their address, the length of employment, and highest position you held.
Current Employer*
Previous Employer
Previous Employer
Our doctrinal statement can be found on our website for you to review.
Are you in complete agreement with our doctrinal statement?*

YesNo (explain below)
If you answered no to the above question, please explain why.*
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Upload your Resume*

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Complete Doctrinal Statement*

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Statement must include your position on the following: Doctrine of the Scriptures, Doctrine of God, Doctrine of Christ, Doctrine of the Holy Spirit, Doctrine of the Trinity Doctrine of Angels, Doctrine of Satan, Doctrine of Demons, Doctrine of Man, Doctrine of Sin, Doctrine of Salvation, Doctrine of the Church, Doctrine of Last Things. Please define “the Gospel”? Why do you identify as a Baptist? What is your philosophy of missions? Please describe your position on the following: Genesis account of creation, Personal separation, Ecclesiastical separation, Eternal security, the Charismatic Movement, Calvinism (T.U.L.I.P.) / Reformed Theology, Indigenous church planting, Tithing and missions giving Cancelof
Recent Family Picture*

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Sending Church*

Name

Street Address

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Sending Pastor*
First Personal Reference, Known for a minimum of two years*
Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Second Personal Reference, Known for a minimum of two years*
Email*
example@example.com
Phone Number*

Area CodePhone Number
Third Personal Reference, Known for a minimum of two years*
Email*
example@example.com
Phone Number*

Area CodePhone Number
Signature*

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Missionary Application

Medical

General

Spiritual

Education

Employment

Please Submit