World Indigenous Missions
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Preliminary Questionnaire
Preliminary Questionnaire
Interested in doing missions? Complete the following questionnaire. Reaching the world can start right now!
First Name:
*
Last Name:
*
E-Mail Address:
*
Introduce yourself
Gender:
*
Male
Female
Age:
*
Address:
*
City:
*
State:
*
Zip:
*
Country
Citizenship
Phone:
*
Other Phone:
Describe when and how you became a Christian:
*
Please share how God has been using you:
*
Are you currently employed? If so, where?
Tell us about your family
Marital Status:
Single
Married
Widowed
Divorced
If married, please provide your spouse’s name:
Age:
If you have children, list their names and ages:
If you are expecting a child, specify the due date:
How are you interested in serving?
Term of service desired:
*
Internship
Career
Not sure
What direction do you perceive God calling you in missions? Any particular country or people group?
*
Every WIM missionary looks to the Lord to provide for their financial support through concerned churches and individuals. Describe your beliefs and feeling regarding support-raising:
Have you been on the mission field before? If so, when and where?
Do you have any health or physical limitations and how might they affect your service?
Home/sending church:
Affiliation:
Phone:
Address:
City:
State:
Zip:
Pastor:
How long have you been a member?
Does your church support your plans?
Yes
No
What is the date of your availability?
You’re almost done!
If you are currently in school, when do you graduate?
If you’ve studied foreign languages, please list them on separate lines along with your proficiency level (minimal, conversational, or fluent):
i.e. French, conversational
How did you hear about WIM?
*