New Life Advance International | Opportunities to Serve

Preliminary Application for Missionary Service

(If married, your spouse must also complete a copy of this application.)

About Me

First Name:

Middle Name:

Last Name:

SSN:

E-mail Address::

Present Address

Street Address:

City:

State:

Zip:

Phone:

Cell Phone:

Fax:

Permanent Address (if different)

Street Address:

City:

State:

Zip:

Phone:

Birthdate:

Place of Birth:

Weight:

Height:

Citizenship:

Marriage Status:

If engaged,
name of betrothed:

Full Name of Spouse:

SSN:

Birthdate:

Place of Birth:

Weight:

Height:

Citizenship:

Children (number,
gender & ages)

Present state of health:

Are you under a
doctor's care? If so,
please explain.

Please explain any special
needs (physical or mental health,
handicaps, etc.) that you, your
spouse, or children have.

Please explain any
counseling/psychotherapy
for any emotional or mental
illness you have ever had.

Please list all prescription
medication you are
required to take on a
long-term or ongoing basis.

Education

Beginning with High School, list all educational
institutions you have entered.

School Name and Location	Date Entered	Date Left or graduated	Course Pursued or Major/Minor	Degree or Certificate received or semester hours completed

Average High School Grades:

College GPA:

Graduate School or Seminary?

Yes No

Other training you
have received

What languages do you speak?

Indicate level of fluency:
Proficiency reading/writing:

List other acquired skills:

Hobbies and/or recreational
activities you enjoy:

Work Experience

Name of Employer	Dates of Employment	Position	Type of Work

Questionnaire

The personal questions which follow should be answered as completely and explicitly as
possible. All information will be treated as confidential.

1. Is anyone dependent
    on you for financial
    support? If so, please
    explain.

2. Are you in debt? If so,
    to whom? Please
    include amounts. Also,
    how do you plan to
    meet these obligations?

3. Have you ever declared
bankruptcy? If so,
please explain.

4. As a Christian, what is
your attitude toward
contracting debts?

5. Have you ever declared
bankruptcy? If so,
please explain.

6. Are you prepared,
    in whole or in part,
    to contribute
    toward the cost of:

a) your outfit and passage? Yes No

b) your maintenance on the field? Yes No

Yes No

7. Having fervently sought the Lord in prayer, do you believe that you are
clearly called of God to trust Him for the supply of all your physical
needs?

7. What is the attitude of
    your parents regarding
    your plans for foreign
    missions service?

8. If you are married, what
    is the attitude of your spouse
    regarding foreign missions
    service?

9. Do you have any domestic
    situation or personal
    problem(s) that might
    interfere with your going to
    the field or necessitate your
    returning from the field,
    should you be appointed?
    If so, please explain.

10. Have you ever
    been convicted of
    a felony or
    misdemeanor
    crime? If so, what
    was the outcome?

11. Have you ever had a
problem with alcohol? If
so, please explain.

12. Have you ever used illegal
      substances such as
      cocaine, heroin,
      amphetamines, etc? If so,
      please explain.

Yes No

13. Do you use tobacco?

14. Have you ever had a
      problem with or been
      dependent on prescription
      medication? If so, please
      explain type of medication,
      how long dependant, and
      how long free from the
      dependency.

15. Have you ever had, or do
      you now have a problem
      with pornography? If so,
      please explain.

Yes No

16. Do you have a problem with gambling?

17. Are you assured of your
salvation? State on what
Scriptural grounds.

18. What is your motivation
      for volunteering to serve
      on the mission field, and
      why do you desire to
      serve abroad?

19. What are your habits as to (a) Bible study
and (b) prayer?

20. What Christian work have you been
      involved in since your conversion?
      (Indicate type of work, age group and
      length of time.)

21. Have you been used in leading souls to
definite acceptance of Christ?

Yes No

22. With what denomination or group are you
associated?

23. Of what local church are you a member?

24. Are you an active member
      of your church? Please
      list the ministries in which
      you are involved.

25. Are you ordained? If yes, please give
details.

26. Would you have conscientious difficulty in
      having fellowship, including that at the
      Lord's Table, with members of the Mission
      who are not of the same church
      association as yourself?

25. Missionary life often involves difficulties of which the following are typical:

Living without modern conveniences
Working in an isolated community
Enduring separation from loved ones
Facing health hazards

Managing on a limited income
Adjusting to new and strange environments
Assuming heavy personal and group
responsibilities
Submitting to the authority of others

26. Do you seek missionary appointment with the full knowledge of such
possibilities and with a readiness to meet them to the best of your
ability?

Yes No

27. Missionary life often involves reaching official decision by a majority.
      Do your past experiences lead you to believe that you could
      cooperate in carrying out such a majority decision even if you were
      in the minority?

Yes No

28. Have you ever been part of a mission
      team, either short or long term? If so,
      in your opinion, how well did you fit
      into the team and its activities?

29. What do you consider to
      be your primary natural
      abilities (analytical,
      mechanical, etc.)?

30. What primary acquired
      skills do you have (such
      as computers, auto
      mechanic, etc.)?

31. What are your primary
spiritual gifts?

32. What is your attitude toward other
      religions, particularly those in the country
      of your preference? (Such as Buddhism,
      Islam, etc.)

33. What is your attitude toward working (a) in
      full partnership with Christian nationals of
      the country you wish to serve, and (b)
      working under the direction of such
      nationals?

34. Have you ever made application to any
      other missionary society or board? If yes,
      to what society, when and with what
      result?

35. Recognizing that only God knows our future,
      at this juncture do you desire to make
      missions your life-long work? Why or
      why not?

36. What type of missionary work do you wish
to do (i.e. teaching, nursing, evangelism,
etc.)?

37. Do you have the necessary training and/or
experience to be productive in this work?
Explain.

38. To what nation and/or people group do
you feel called to serve?

39. If you are not married, please skip to
      question 41.

      What is your assessment of the quality
      of your marriage relationship?

40. Have you ever received marriage
counseling? If so, please give details.

41. If you do not have children, please skip
      to question 46.

      How do your children feel about moving
      to a foreign field?

42. If an English speaking school is not available
      where you will be living and working, how
      do you plan to handle your children's
      eduction?

43. If you elect to home school, are you qualified
      to do so, and do you have the desire and
      the determination to home school your
      children?

44. What is your attitude toward boarding
schools (for older children)?

45. Do any of your children have special needs
(e.g. physical health needs, handicaps, etc.)?
If so, please explain.

46. Since NLAI is a faith based mission, it will be necessary for you to pray for God's provision for your
      financial needs (both personal and ministry) and then prayerfully ask God's people (churches and
      individuals) to participate with you, both in prayer and finances, in your ministry. NLAI will assist
      you in determining your financial needs and establishing a budget for both your personal needs and
      your ministry.

46b. Are you willing to trust God for your support, and then
prayerfully seek the financial help of individuals and churches
for your ministry?

Yes No

46c. Are you contributing to Social Security? If not, NLAI requires
that you enroll.

Yes No

46d. If the nation in which you plan to serve
prohibits access to missionaries, what will
be your means to gain access?

46e. Bear in mind that the visa requirements in some nations make it difficult for missionaries to remain
        in-country on an ongoing basis. Usually, unless one has some type of long-term or resident visa
        (which are usually difficult to obtain), or unless some quota exists for missionaries, the missionary
        (and his/her family) will probably be required to leave the country periodically (for example, every
        3 months). Periodic travel in and out of the country will require additional financial support.

        What are the visa requirements in the nation
        where you will be serving? How will they affect
        (1) your ministry, your family, and your financial
        needs, and (2) how will you address these
        governmental restrictions?

        Note: NLAI will take part in this investigative
        process.

46f. What kind of financial planning have you done to
provide for retirement, and if applicable, the
education of your children?

46g. NLAI requires all personnel to have health insurance. A group policy is available through NLAI.

46h. What are your plans
        for continuing education
        (in missions, theology,
        etc.) that is relevant to
        your continued growth
        in your chosen field of
        ministry?

Please read our
Statement of Faith
(scroll through box
to the right)

47. Do you agree with
      the NLAI Statement
      of Faith? If not,
      please explain.

Please read our
Mission Statement,
Purpose and Values
(scroll through box
to the right)

48. Do you agree with
      the NLAI Mission,
      Purpose and Values?
      If not, please explain.

49. Do you accept NLAI's faith basis for financial support, i.e. trusting
God for provision, leading, direction, security, and all other facets
of ministry?

Yes No

50. Will you submit to those placed in authority over you in NLAI?

Yes No

51. Are you willing, after prayer and in-depth consultation with you, to
accept the decision of NLAI as to your precise work and location
on the field?

Yes No

52. Please share your
salvation experience.

Having prayerfully considered God's purpose for my life and being confident of His call and
leadership, I hereby offer myself for missionary service with New Life Advance International.