Short-Term Application (6 months – 2 years) APPLICATION FOR SHORT-TERM MISSIONARY SERVICE (6 months - 2 years) Date MM slash DD slash YYYY Name First Last What do you prefer to be called? Gender Male Female Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone Number Where We Can Reach You Email Date MM slash DD slash YYYY Websites or blogs about you Date of Birth Place of Birth Citizenship Marital Status Single Engaged Married Widowed Ever Divorced Name of Spouse (or fiance/fiancee) Anniversary or Proposed Marriage Date Details of ChildrenNameGenderDate of BirthSocial Security Number List this information for each child in your family.Which of the children listed above plan to accompany you to the field?Describe to us their feelings about your interest in missions and living in a new country.What is the attitude of your parents towards your going overseas, if applicable?If anyone is dependent on you for support, to what extent?If someone is dependent on you for support, how would you propose taking care of the situation if ongoing support is necessary while you are overseas?Are there any domestic situations which might interfere with your service on the mission field or possibly necessitate premature return for a significant period of time? Yes No If you answered yes above, please explain.Next of Kin Remaining in Home Country Relationship Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail Post High School EducationPost high school educationDates attendedGraduatedDegreeMajorMinor Are you fluent or conversational in language(s) other than English? Yes No If you answered yes to the above, list the language(s) and how many years you have studied.LanguageNumber of Years Studied Do You Have a License to: teach? practice medicine? preach? Categorize the following skills as they fit into your skill set with A=PROFICIENT; B=MODERATE SKILL; C=LIMITED SKILL; D=LITTLE SKILL. One-on-one evangelism, leading church worship, teaching Sunday school, counseling individuals, youth work (ages 13-22), performing/teaching music, administrative assistant, preaching, leading Bible studies/discussion, planning conferences/retreats, student work (children up to age 12), social work, translating, management.What are your ministry interests?In what sports, hobbies, and leisure activities do you participate regularly?Which books and/or films have significantly influenced you recently?List any cross-cultural experiences you have had:Do you have a current valid driver's license? Yes No How long have you been a Christian? Church you attend regularly Denominational affiliation Ministries you have been involved in or are currently involved in at church:Describe your practices in Bible study:Describe your practices in prayer:In what ways have you been involved in witnessing for Christ?Have you been or are you currently involved in discipling someone else? Have you applied to any other mission organizations? Yes No If you answered "yes" to the above, which mission organizations and what action has been taken?Please explain briefly how you see yourself being used on the field.Country of interest: Indicate length of service you are considering. If accepted, how soon would you be ready to leave for the field?List three goals you want to realize during your mission experience.Are you or have you ever been involved in any lawsuits or other legal proceedings? Yes No If yes, explain. Be sure to note whether legal issues could have any effect on missionary work.Have you ever participated in, been accused or convicted of, or pleaded guilty or no contest to any abuse or sexual misconduct?* Yes No Do you have a valid passport? If so, country of issue, number, and expiration date. Social security number: Passport information of others who will be traveling with you:Full name on passportPassport numberExpiration dateCountry of issue Describe your home; your relationship with your parents, siblings, and close friends; and the types of communities in which you have lived.Summarize the stages of your Christian experience and growth, including your salvation experience, particularly influential people and circumstances, and your church associations.Relate the influences which have led to your choice of vocation, academic and practical training, and any opportunities or experiences which have contributed to your personal and professional development.Explain why you are applying for missionary service, what led to this decision, and why you believe/think God is leading you to apply to work with Grace Ministries International.Please give names and complete addresses and emails of three people not related to you whom we can contact for references. One must be your current pastor. They will be asked to respond concerning your skills, limitations, professional judgment, ethics, or any concerns with your work.NameAddressEmail Do you agree with the GGF/GMI doctrinal statement found at gracem.org? If not, what doctrinal issue do you have a problem with?Please type the equivalent of one page describing your personal salvation experience, as well as how you would explain the way of salvation to a non-believer.If your application is approved, will you willingly place yourself under the authority of the board? Yes No Name* First Last By putting your name on this application, you are also agreeing to a background check that may include but is not limited to criminal history record information.Date MM slash DD slash YYYY CommentsThis field is for validation purposes and should be left unchanged. Δ
