1. Name:LAST____________________FIRST____________________MIDDLE___
2. Phone:______________________Fax:______________________Cell_____________
3. Address: Mailing____________________________________City___________State____Zip_____
4.Social Security: ______-____-______ 5. DOB: _____/_____/______
6. POB:___________________________________________
7. Race:_________ Sex:_______ 8. Present Marital Status: Single_______Married_______Divorced_______ Engaged_______ Remarried_______Explain
_____________________________________________________________________________________
9. Have you or your wife ever been Divorced? Yes____No____ If yes explain:_______________________________________________________________________________
_____________________________________________________________________________________
10. Spouses Name:_________________________________11.DOB_____/_____/_____
12. Social Security ____-____-_____
13. Number of Children: _________ List name(s) DOB(s) and S.S(s) of children living
at home or attending college on the second page info sheet.
14.. Are you enrolled in school?_________ Where?____________________________________________________________________________________
15. What is your Major?____________________________________________________________________________________
16. When do you plan to graduate?____________________________________________________________________________________
17. If you have completed school List all the schools you have attended beginning with
High School.
High School__________________________________Graduated-Yes___No___Year Graduated_____
College______________________________________Graduated-Yes_____No_____
Yr. Graduated_____ Degree__________
18. On a separate 8 1/2 x 11 sheet of paper, explain why you feel God is/has called
you into missions.
19. Are you employed at the present time?_______ Where and how long?_____________________________________________
20. Have you been Born Again?_______ On a separate sheet of paper give your
salvation testimony.
21. Are you a member of a Church?__________ (Give name, address, denomination,
and Pastor's name)_____________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
22. What Christian service have you been involved in?____________________________________________________________________________________
____________________________________________________________________________________
23. Have you read the articles on our web site concerning
Evangelism Missions Inc?__________.
Request:
24. Please send additional information about EMI. Yes_____No_____
25. I would like to discuss my ministry in more detail with a director? Yes_____No______
If yes e-mail EMI for Director's Phone number contact@emi-missions.org .
26. I would like to visit the EMI Home Office with my Pastor or family? Yes__No___
27. Have you read our Doctrinal Position on line or Pamphlet? Yes__No___
Do You agree with our Doctrinal Position? Yes_____No____
Note: Applicants must have finished at least a three year Bible College with a
Graduate degree. Pastor's entering the Mission Field will be considered
upon the pastoral service.
Signature___________________________________________________Date______________
This form may not be duplicated for others to use for their mission or web site without the written permission of Evangelism Missions Inc.
