ATTACH or INSERT PICTURE HERE

Date Received: Date Approved: ___________ Please return to: PO Box 192, Wilmore, KY 40390 www.cornerstoneinternational.org carla@cornerstoneinternational.org phone: 1-800-859-4578 fax: 859-858-0981

MISSIONARY APPLICATION

PERSONAL INFORMATION
Applicant Legal Name: Mailing Address: SSN:

Marital Status: Spouse Name: Spouse DOB: Spouse SSN: Dates: Marital History

Date of Birth: Valid US Passport? #: Exp. Date: Phone: Work Phone: Cell Phone: Email: Blog:
Church/Denomination: Pastors Name: Pastors Phone:

Other Passport? Country: #: Exp date: Primary Language: Licenses, Certificates, Permits, etc (list on right) Other language fluency?

FAMILY INFORMATION
Childs Name Nickname DOB Age SSN Pertinent Info/allergy/illness, etc.

STATUS/DESTINATION
___Short-term (up to 2 yrs) Field Location: Field Work/Mission: ___ Long-term (over 2 yrs.) Field Contact: Estimated Dates of Service:

EDUCATIONAL BACKGROUND (List all schools attended after high school)

School Name Dates attended Graduation date Major(s) Degrees

EXPERIENCE
Experience in: Work: Start and Stop Dates: References: Name/Phone

Military:

Mission:

Ministry:

GIFTS
What gifts do you bring to the Christian community? Please list.
(See Romans 12:6-8; 1Corinthians 12:7-11, 27-28; Ephesians 4:11-13)

SKILLS Please mark your skills using the code: A for Average, G for Good, P for Professional.
Ministry Leading Bible Studies Leading Worship Counseling Youth Ministry Ministry/Elderly Childrens Ministry Urban Missions Discipleship Outreach Prayer Ministry Intercession Other: Other: Other: Business Computer Filing Accounting Typing Teaching Conflict Resolution Writing/Proofing Web Tech Speaking Other: Medical Nursing Physician Survival Skills Emergency Midwifery EMT Other: Musical/Artistic Drama/mime Photography Dance Instrument Teaching Comedy Singing Writing Music Drawing/Painting Sculpting Graphic Arts Web design Construction Carpentry Painting Masonry/Concrete Roofing Electrical Plumbing Other: Miscellaneous: Cooking Sports/Recreation

Please mark the areas in which youve had experience: P for personally, O/with others, M/in ministry ____ occult activity? ____ abuse? ____ addictions? ____ significant trauma?

Type of Debt

FINANCIAL Please list all debts including school loans and the amount you still owe. $ Amount Owed:

What is your plan to eliminate your debt?

REFLECTION On an attached sheet or file, please answer the following questions. 1. Describe your past and present relationship with Jesus Christ. 2. What is the Gospel? 3. Name a few heroes of the faith who have inspired you and discuss their significance in your own journey. 4. Discuss the importance of Christian community. 5. What reading and/or music has touched you in recent months? 6. Describe your vision for missions/ministry. How did God call you?

REFERENCES Please give the Letter of Reference in this packet to three people who know you well and have accompanied you in your Christian life and ministry. Please write their names, addresses (including email) and phone numbers below.
Name Address Email Telephone

1. 2. .3

APPLICANTS COVENANT

I agree, if approved, to Attend orientation during board meetings or at other specified times Complete an individual history inventory for personal ministry Complete a Birkman Personality Profile (long-term applicants) Satisfy personal costs related to preparation, such as; a Birkman Personality Profile, aquiring a passport/visa and health/immunizations, registration for additional training, etc. Be accountable to the Director in determining departure times and dates Raise the required funds and see that they are deposited in my CornerStone Account prior to departure Abide by the statements and policies included in this packet. Abide by the conflict resolution and binding arbitration procedures in this packet. (p. 11 of Longterm Policy and Procedure Manual).

_________________________________________________ (Applicants signature)

______________________________________________ (Date)

Letter of Reference You have been chosen to complete a Letter of Reference for ___________________________________________ (applicants name) in regard to their service as a CornerStone missionary in the country of _____________________________________________.

Please address the following Family relationships Health - physical, emotional and mental Motivation and potential Spiritual and moral life Strengths and weaknesses Personality and people skills Any other information you feel is significant

Please return to: CornerStone International P. O. Box 192 Wilmore, KY 40390

On behalf of CornerStone and the missionary candidate, thank you for your time and attention.

P.O. Box 192 Wilmore, KY 40390 1-800-859-4578 www.cornerstoneinternational.org