THE MASTER’S MISSION

The Whole Word for the Whole World

On this application in the section that asks for your children's name, birth date and age - please type in a current phone number where you can be contacted. Thank you!

| Mindscape

Name(s) *
Birthdate *
Address (Street/ P.O. Box) *
Address (Suite, Apt) *
City *
State *
Zip Code *
Spouse's Birthdate *
Children: Name, Birthdate, Age *
Have you or your spouse ever been seperated or divorced? *	YesNo
If yes, please explain:
What church do you currently attend? *
Address (Street/ P.O. Box) *
Address (Suite, Apt) *
City *
State *
Zip Code *
Pastor and/or Associate *
Missionary Committee Chairman *
Are you a member of this church? *	YesNo
Of another Church? *	YesNo
If yes, Please list name and address:
Pastor and /or Associate
Missionary Committee Chairman
Are you ordained? *	YesNo
If Yes, how long?
By what Church / Group?
Are your spouse and children in sympathy with your ministry? Briefly Comment.
Please list your current church responsibilities. *
Please list your past church responsibilities. *
Are you a member of, or affiliated with, any other mission, professional, or fraternal organization? *	YesNo
If yes, please list.
What year did you graduate from high school? *
What year did your spouse graduate from high school? *
Please list the schools you have attended since high school. Start/Finish. Degree Earned.
Please list the schools your spouse has attended since high school. Start/Finish. Degree Earned.
Please list your Employment History. Employer. Start/ Finish. Job Description.
Please list your spouse's Employment History. Employer. Start/ Finish. Job Description.
Reference Name
Reference Address, City, State, Zip
Phone Number
Reference Name
Reference Address, City, State, Zip
Phone Number
Reference Name
Reference Address, City, State, Zip
Phone Number
Reference Name
Reference Address, City, State, Zip
Phone Number
How do you know you are a child of God? *
Why do you believe God is leading you into missionary service? *
Email Address *