C4L    C a n a d a

Lowveld Centre for Life Long Learning

Capacity Building in Southern Africa

 

 

 

   

 

   

Missions in Africa Application Form:

 

Complete and Submit the following on-line application form.
or

Download a PDF Version for completion and mailing 

or
E-mail or call (604)983-9743 and request additional information to be sent to you by e-mail

 

Applicants full name:
  Birth date
  Birth place
  Nationality
  Citizenship
  Language(s) spoken
  Marital Status
Your permanent address  
  Address
  City
  Province Postal code
  Country
  Home Phone
  Your E-mail address
Your mailing address: (if different)  
  Address
  City
  Province Postal code
  Country
   
Name of Parents / Guardian:
  Address
  City
  Province Postal code
  Country

If applicant is a minor,  indicate parents' attitude toward your involvement in missions.

   
Emergency contact:
 Address
City
Province Postal code
Country
Contact Phone Number
   
Church Affiliation:  
Church
Address
City
Province Postal code
Country
Phone Number
   
Are you a Church Member?   Yes    No
   
How often do you attend Church?
   
Tell about your salvation experience, Christian growth, ministry experience and why you desire to be a short-term missionary?
Do you maintain a regular devotional life?   Yes    No
Please describe your devotional life.
Have you ever abused alcohol, tobacco, drugs or other harmful substances? Describe:
References:  

Give the name and address of each of the following persons to whom we will be sending a reference form:

 
A. Home Pastor's name
  Address
  City
  Province Postal code
  Country
  Phone number
   
B.  Employer or friend
  Address
  City
  Province Postal code
  Country
  Phone Number
   
I authorize the above to supply reference information to C4LCanada  
   
Why are you interested in this particular ministry?
Will the required funds be available?

Sources:

 

  Church

  Fundraising
  Friends
  Self

Employment experience:

List any emergency medical, camp or outdoor sports in which you have experience or training:
Have you had any cross-cultural experience?
   

I certify that all statements made on the pages of this application, including attachments, are true and accurate, and complete to the best of my knowledge and are made in good faith. I understand that any misleading, inaccurate, or incomplete information may be cause for disqualification or termination.

 

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