Application Request

Name:

Home Address:

Home Phone:

Work Phone:

Email Address:

Age:

Citizenship:

Marital Status:
Marital Status Single Engaged Married Widow(er) Divorced Remarried

Spouse's Full Name (if applicable):

Name(s) and Ages of Children:

Have you ever been divorced or had a marriage annulled?
No Yes

If so, how many times?
0 1 2 3 or more

If "Yes", please explain:

Do you attend a Foursquare Church?
No Yes

Pastor's Name:

Church Name:

Church Address:

Church Phone:

Is your pastor in full agreement with your desire to serve in missions?
No Yes Unsure

Briefly describe your ministry and work related experience:

What Foursquare ministerial credential do you hold (if applicable)?

Please rate your present health:
Excellent Good Fair Poor

Please describe any health concerns you presently have:

Briefly describe any post-high school education you have had:

What is your first language?

List any other languages you speak:

Briefly describe any foreign travel or cross-cultural experience you have had:

Please give the dates of the following experiences in your life:
Conversion

Water Baptism

Baptism with the Holy Spirit

Do you regularly support Foursquare Missions through prayer?
No Yes

Do you regularly support Foursquare Missions through finances?
No Yes

What length of time do you wish to serve with Foursquare Missions?

Please check the category of service you are interested in (check all that apply):
Foursquare Youth Outreach Teams (under 18 yrs. / up to 3 weeks)
World Impact Teams (adult teams - up to 4 weeks)

Worldbase Field Ministry School (adult teams - up to 4 weeks)
   Oslo, Norway
   Cape Town, South Africa
   Bangkok, Thailand
   Madrid, Spain
   Mission Team Specialist (3 to 12 months, assisting a Missionary)
   FMI Associate (credentialed Foursquare minister, variable time commitment)
   Foursquare Missionary (ordained Foursquare minister, long-term commitment)

   Other (please explain):
   

Briefly describe the ministry/ service you wish to perform: