* Denotes Required Field
* Title
* Name:
* Marital Status:
Please select an option
Single, never married
Married
Separated
Divorced
Widowed
Spouse's name:
* Mailing address:
* City:
* Province:
Please select an option
British Columbia
Yukon
Northwest Territories
Alberta
Saskatchewan
Manitoba
Ontario
Nunavut
Quebec
New Brunswick
Nova Scotia
Prince Edward Island
Newfoundland and Labrador
* Postal code:
* Daytime:
Cell:
(
* Email:
* Country of birth:
* Citizenship:
If naturalized, when and where?
* Date of birth (mm/dd/yr)
* Number of children
Please select an option
0
1
2
3
4
5
6
7+
* Present occupation:
* Highest level of education completed:
What plans, if any, do you have for further study:
* How would you rate your health?
Please select an option
Vigorous
Good
Fair
Poor
Describe any impairment (physical, mental, spiritual) that could affect your ability to perform the tasks in which you are interested.
What obligations do you have that might be difficult to fulfill if serving overseas?
* Name of church you attend:
* Address of your church:
* Church phone number:
* Pastor's name:
* When did you become a Christian?
* Date and mode of baptism:
* List your practical experience in Christian work:
* What country, region, people-group or specific work interests you?
* Briefly describe your desire/call to missions.
Have you ever had overseas ministry experience? If so, please describe.
* Have you ever lived in or experienced a cross-cultural setting?
* Please give any further details/explanation of your ministry desires.
* What is your first language?
What other languages can you speak/read/write?
* What other information, if any, might help us know you better?
If you have been in discussion with a Fellowship staff member up to this point, please indicate the staff member's name.
