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Missionary Application Form
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DOB: separate family
PERSONAL & FAMILY HISTORY
Name:
*
First
Last
Date of Application:
*
Address:
*
Email:
*
Main Phone:
*
If cell phone please add below also
Cell Phone:
Age
*
Date of Birth
*
Marital Status:
*
Single
Married
Divorced
Race:
*
Nationality:
*
Citizenship:
*
Date Married:
*
Spouse Name:
*
Is spouse Living?
*
Yes
No
Have you been divorced:
*
Yes
No
If yes, is former spouse living?
Yes
No
List children living at Home:
1st Child Name:
1st Child Age:
1st Child DOB:
1st Child; Male/Female:
Male
Female
2nd Child Name:
2nd Child Age:
2nd Child DOB:
2nd Child; Male/Female:
Male
Female
3rd Child Name:
3rd Child Age:
3rd Child DOB:
3rd Child; Male/Female:
Male
Female
4th Child Name:
4th Child Age:
4th Child DOB:
4th Child; Male/Female:
Male
Female
5th Child Name:
5th Child Age:
5th Child DOB:
5th Child; Male/Female:
Male
Female
6th Child Name:
6th Child Age:
6th Child DOB:
6th Child; Male/Female:
Male
Female
7th Child Name:
7th Child Age:
7th Child DOB:
7th Child; Male/Female:
Male
Female
Name:
Relationship to applicant:
Address:
Daytime Phone:
Email Address:
Evening Phone:
Cell Phone:
Phone
Present, or last, place of employment:
Supervisor’s Name:
Length of employment:
Are you delinquent, or in arrears, on any of your bills:
Yes
No
If yes, explain:
EDUCATION
Institution:
Degree earned:
Grammar School:
Grade Completed
High School:
Grade Completed
College:
Degree Title
Bible School:
Degree Title
Seminary:
Degree Title
If additional training, please list on separate sheet.
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Choose Files to Upload
SALVATION AND MINISTRY EXPERIENCE
When and where (in what church) were you baptized:
List your full time ministry experiences (position held, length of service, church where served, reason for leaving, etc. Use a separate page, if necessary.):
List any other ministry experiences (whether full or part-time):
CHURCH MEMERSHIP
Are you presently a member of an independent Baptist Church?
Yes
No
If no, explain:
Membership is presently at:
Church Address:
Pastor:
Church Phone:
Have you ever been a member of a church that was not a Baptist Church?
Yes
No
If yes, explain:
SPIRITUAL LIFE
Do you consistently witness to the lost?
Yes
No
Do you have daily family devotion?
Yes
No
Do you have family altar?
Yes
No
Do you tithe to your local Church?
Yes
No
Do you participate in faith promise missions giving, as the Lord leads?
Yes
No
Do you play any musical instruments?
Yes
No
If yes, list each instrument you play:
Do you sing?
Yes
No
Do you have other talents that you use for the Lord?
Yes
No
List:
On a separate sheet of paper, and in you own words; write a brief summary of your position on each of the articles of faith found in the handbook. On a separate sheet of paper, briefly describe your call to missions.
Do you have the Lord’s leadership for the specific field you are called to?
Yes
No
If no, explain
Should the door to this field close for any reason, will you seek the Lord’s direction to another field?
Yes
No
If no, explain:
Have you discussed your call to missions with your pastor?
Yes
No
If no, explain:
Please attach a letter of recommendation from your pastor to this application.
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Have you ever applied to serve with another mission agency?
Yes
No
If yes, give the name and address of the mission and explain (on a separate page, if necessary) why you are not serving with them now. Also, provide the name and address of a mission official that may be contacted.
Explain how you were led to apply with Prayer Baptist Mission International, Inc.
Is your church willing to commission you to do missionary work with PBMI, Inc., and sign the certificate of commissioning which states: “By doing so, we designate and set apart our fellow-worker to minister in this capacity in full accordance with the purposes, precepts, policies, and practices of PBMI, recognizing our own responsibility to council with them should they cease to hold and practice these beliefs. We will not sin against them by ceasing to pray for them.”?
Yes
No
If no, explain
As an applicant with PBMI, do you understand that you must trust the Lord for all your financial needs, equipment, passage, and support? Are you in full accord with this faith principle?
Yes
No
Do you understand that effective service on the mission field involves the complete putting aside of personal ambitions, and, that it requires a life that is absolutely yielded to God and to His will; that it may mean danger, suffering, sorrow, sickness, loneliness and exposure to intense testing; and that it demands the ability to cooperate sympathetically with others; and, above all, that it is based on a genuine love for the Savior, and for the souls of those who are lost?
Yes
No
To what extent do you believe that you qualify for missionary ministry?
OTHER INFORMATION REQUIRED:
Passport:
Date Issued:
Place Issued:
DL:
Date Issued:
State:
Exp Date :
SSN:
Ordination: When:
Where:
Please provide a recent photograph of yourself with this application:
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Please provide the names and addresses of at least six references:
01.
04.
02.
05.
03.
06.
Statement of Doctrinal Agreement and Loyalty
While serving through PBMI, Inc., I do solemnly affirm that I will not approve of, cooperate with, or support any activity sponsored by known liberal theologians, neo-orthodox, neo-evangelical, charismatic, or tongues movements, nor with the World Council of Churches or any other ecumenical association. I accept and uphold the Purposes, Precepts, Policies, and Practices of PBMI, Inc. Should the time ever come that I can no longer agree with these, I will promptly notify the Mission of my position and withdraw my participation. I pledge my personal loyalty to the Mission and to the work of spreading the Gospel of Jesus Christ, according to the true Holy Scriptures, the1611 King James Bible.
DECLARATION OF AGREEMENT
I have read, and agree with, the entire Handbook.
Signature
Clear Signature
Date
Please, Print fill name.
OFFICE USE ONLY
Application received by PBMI Office:
Copies provided to Board members by:
Executive board met with candidate on:
Executive board decision:
Candidate has been examined and approved / disapproved.
President or General Director :
Date:
Submit Application
Paul Douglas
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