Name
*
First Name
Last Name
Email Address
*
Date of Birth
*
MM
DD
YYYY
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
What is your marital status?
*
Single
Married
Divorced
Passport Number and Date of Issue
*
Passport Place of Issue (City/State)
*
Are you a student at CFNI?
*
Yes
No
If yes, what is your Student ID#?
Primary Emergency Contact
*
First Name
Last Name
Cell Phone
*
(###)
###
####
Work Phone
*
(###)
###
####
Email
*
Relationship
*
Secondary Emergency Contact
First Name
Last Name
Cell Phone
(###)
###
####
Work Phone
(###)
###
####
Email
Relationship
Please list all physical conditions/allergies you may have.
*
Please list any medication that you take on a regular bases.
*
Are you physically able to handle your own luggage at all times, walk a mile or more, and climb stairs without any undue strain?
*
Yes
No
If no, please explain.
Please provide the name of the church you attend and how regularly you attend.
*
Are you currently involved in any small groups at your church? If so, please list them.
*
Are you currently serving at your church? If so, please specify where and how long you have been serving.
*
Please list any cross-cultural and/or short-term team experience you have, beginning with the most recent and going back chronologically. Please include the organization you went with and the dates of the trip.
*
Please describe any special skills, talents, spiritual gifts, or service experience that you feel may be helpful during this field school (music, teaching, first aid, construction, etc.).
*
Please list any language you can speak other than English and how well you can speak (conversational, fluent, etc.)
*
Please briefly share your testimony of faith.
*
Please briefly describe your personal patterns of devotion and discipleship.
*
What has God been teaching you this year?
*
Why are you interested in the Missionary Field School? How do you think God has been leading you toward this program?
*
In your opinion, what are your greatest areas of strength? Your areas of weakness?
*
Please briefly describe what you want to see the Lord do in and through you this program.
*