Application
& Profile
Please
Print Legibly
Candidate's
name: ___________________
Address: ___________________________ City: ___________ State:
____ Zip: ______
Phone: ( )___________________ E-Mail Address:
________________________
School: ________________________ Grade: ________ Graduation
year: _________
Birthdate: ___________ Age:________
Hobbies/Sports: _________________________________________________________
Church: ________________________________ City: _________________________
Senior Pastor: ___________________ Youth leader/Pastor: ____________________
Have you been baptized in water? _ Yes _ No
Briefly give
a testimony of your born-again experience: ____________________________________________________________________
____________________________________________________________________ ____________________________________________________________________
What is your vision/dream for your school?
____________________________________________________________________ ____________________________________________________________________
Why do you want to be a Campus Missionary?
____________________________________________________________________ ____________________________________________________________________
____________________________________________________________________ ____________________________________________________________________
|
Pastor's Reference _____ Yes, I recommend this student for appointment as a Campus Missionary. _____ No, I am unable at this time to recommend this student for appointment. Pastor's Signature _______________________________________________________ |
(Please use back
of application for more or attach additional pages as needed.)
I understand that I will not receive appointment until this application has
been
received completed in full with my pastor's signature.
Send application
to:
Campus Missions, PO Box 1965, Grand Island, NE 68802
Phone: (308) 384-1234
E-mail: Jenny@neag.org