International Missionary Application

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Complete form and attach a recent photograph. If married, husband and wife should complete separate forms.

Date:

Title:

E-mail:

Cell Phone:Home Phone:

Zip:State:City:

Apt #:Address 2:Address 1:

Last Name:Mid. Name:First Name:

Marital Status:Birth Date:

Spouse's Name: # of Children:

Citizenship:

PERSONAL:

Please check the area(s) in which you qualify to minister:

Pastor/Teacher Construction Medical Administration Evangelism

Foreign languages spoken:

1. Beginner Conversant Fluent

FluentConversantBeginner2.

International Missionary Application

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Institution:

Year of high school graduation:EDUCATION:

Post high school education:

Major:

Years attended: Degree:

Degree:

Major:

Years attended:

Institution:

WORK HISTORY:

Please give a record of major previous jobs held. Use a separate sheet if necessary, using the format as follows:

Description:Title:

Dates:Employer:

Reason for leaving:

Phone:Address:

Employer:

Reason for leaving:

Phone:Address:

Description:Title:

Dates:

International Missionary Application

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CHURCH BACKGROUND

How long have you been with this church?

E-mail: Phone:

Zip:State:City:

Address:

Pastor:Name of Church:

Describe ways in which you are involved in ministry in this church:

ADDITIONAL INFORMATION

Please include any additional comments or information you feel is necessary for us to know or that you would like to share with us.

VERIFICATION:I verify that the information I have included in this application and accompanying forms is true and accurate and I have not withheld any information that might affect the evaluation of my application for my service with Harvest International, Inc.

Signature: ______________________________________________________ Date: ________________________

Have you ever been arrested? YES NO

NOYESHave you ever been convicted of a felony?

If yes, explain.

If yes, explain.

International Missionary Application

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CHARACTER REFERENCES

E-mail: Phone:

Zip:State:City:

Address:

Last Name:First Name:Title:

E-mail: Phone:

Zip:State:City:

Address:

Last Name:First Name:Title:

E-mail: Phone:

Zip:State:City:

Address:

Last Name:First Name:Title:

Please provide the names of three (3) persons who would be willing to write a letter of reference. You should choose people who are familiar with your character and who have positive remarks to make. The reference letter can be employment-related, personal, or it can attest to your character.

International Missionary Application

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PERSONAL TESTIMONYPlease complete in detail your personal testimony.

Explain your conversion and the date you gave your heart to God. Show how you have grown from conversion date to the present.

Tell us why you believe God is directing you to the mission field at this time. Share your events and experiences which have directly contributed to making you the person you are today.