APPLICATION FORM

Personal Information

1. Full name:

2. Birth date: 3. Age:

4. Sex: male female 5. Married state:

6. Country of citizenship:

7. Country of birth:

8. Passport number:

9. Address:

Town, country:

Postcode:

E-mail:

Training

10. Theological and cross-cultural mission courses (complete and incomplete):

11. Experience

12. Knowledge of English

12a. Read: good average weak 12b. Write: good average weak 12c. Speak: good average weak

12d. English courses studied:

13. Professional training and experience:

Church

14. Full name of the church where you are member:

15. Name of thepastor(s):

16. Sending church or agency:

17. Description of the support from sending church:

18. Source of financial support

19. Testimony of conversion and call:

Future

20. Ministry gifts and expectations for future ministry:

21. What kind of training do you seek in the United Kingdom?:

22. Date available:

23. Length of stay:

24. Where do you plan to go after the time in the U. K.?:

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