Your Name
|
Address
|
City
|
State
|
Zip Code
|
Birthdate
Month
|
Day
|
Year
|
Home Phone
|
Work Phone
|
Cell Phone
|
In Case of Emergency Contact
Your Name
|
Address
|
City
|
State
|
Zip Code
|
Home Phone
|
Work Phone
|
Cell Phone
|
| |
Additional Information to add to
the above
|
Church Contact: Contact of any
additional References.
Church Name/ Pastor(s)
|
Address
|
City
|
State
|
Zip Code
|
Home Phone
|
Work Phone
|
Cell Phone
|
Reference #1
Name
|
Address
|
City
|
State
|
Zip Code
|
Home Phone
|
Work Phone
|
Cell Phone
|
What relationship does this person
have with you –
for how long?
|
Reference #2
Name
|
Address
|
City
|
State
|
Zip Code
|
Home Phone
|
Work Phone
|
Cell Phone
|
What relationship does this person
have with you –
for how long?
|
Reference #3
Name
|
Address
|
City
|
State
|
Zip Code
|
Home Phone
|
Work Phone
|
Cell Phone
|
What relationship does this person
have with you –
for how long?
|
|
Please review and answer the following questions as
completely as possible.
Tell us about your personal experience with Jesus Christ? Where
is your relationship currently at? Please be specific.
|
Why are you interested in the Eaglette Program? What are your
expectations in coming and being a part of this program at Faith
Mission International?
|
Do you have any physical limitations, allergies, or other
related medical issues we need to be aware of?
|
How long are you prepared to commit to at Faith Mission
(May, June, July, or 2 of the months, or all three?)
|
What concerns do you have about being a part of this program?
|
If you are a minor, what is the longest time you have been away
from home? Describe the situation. How did you
handle it?
|
Do you have a valid drivers license, and insurance? Do you plan
on driving your vehicle back and forth to Mexico?
|
If you do not have your own vehicle, how do you plan to arrive
at Faith Mission, and then return when you have completed your
program?
|
Do you have any computer skills? If yes, describe them.
|
Describe any areas of “ministry” you have been involved in.
|
|