C4L-Canada

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.

Back to Mission in Africa Project