Personnel Information Form

Submitting this form places neither you nor us under any obligation. The information you give here will help us to become better acquainted with you and to work with you toward a possible missionary assignment. You will be asked, by the OBMM administrator, to submit references after we have received and reviewed your application. (Husband and wife should both fill out the application form.)

Your information is saved on our server as you enter it.

1Personal Info

2Family

3Parents

4Emergency Contact

5Church

6Health

7Education

8Experience

9Interests/Abilities

10Financial Info

11Pledge

Name*

First Middle Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

SSN*

Name on Passport*

Passport Number*

Citizen of (which country)*

Date of Birth*

MM slash DD slash YYYY

Passport Issue Date*

MM slash DD slash YYYY

Passport Expiration Date*

MM slash DD slash YYYY

Marital Status*

Single

Engaged

Married

Widow

Widower

Spouse's Name on Passport*

Spouse's Passport Number*

Citizen of (which country)*

Date of Birth*

MM slash DD slash YYYY

Passport Issue Date*

MM slash DD slash YYYY

Passport Expiration Date*

MM slash DD slash YYYY

Do you have children?*

Yes

Number of Children*

First Child

Name on Passport*

Passport Number*

Date of Birth*

MM slash DD slash YYYY

Passport Issue Date*

MM slash DD slash YYYY

Passport Expiration Date*

MM slash DD slash YYYY

Second Child

Name on Passport*

Passport Number*

Date of Birth*

MM slash DD slash YYYY

Passport Issue Date*

MM slash DD slash YYYY

Passport Expiration Date*

MM slash DD slash YYYY

Third Child

Name on Passport*

Passport Number*

Date of Birth*

MM slash DD slash YYYY

Passport Issue Date*

MM slash DD slash YYYY

Passport Expiration Date*

MM slash DD slash YYYY

Fourth Child

Name on Passport*

Passport Number*

Date of Birth*

MM slash DD slash YYYY

Passport Issue Date*

MM slash DD slash YYYY

Passport Expiration Date*

MM slash DD slash YYYY

Fifth Child

Name on Passport*

Passport Number*

Date of Birth*

MM slash DD slash YYYY

Passport Issue Date*

MM slash DD slash YYYY

Passport Expiration Date*

MM slash DD slash YYYY

Sixth Child

Name on Passport*

Passport Number*

Date of Birth*

MM slash DD slash YYYY

Passport Issue Date*

MM slash DD slash YYYY

Passport Expiration Date*

MM slash DD slash YYYY

Seventh Child

Name on Passport*

Passport Number*

Date of Birth*

MM slash DD slash YYYY

Passport Issue Date*

MM slash DD slash YYYY

Passport Expiration Date*

MM slash DD slash YYYY

Father's Name*

Date of Birth

Occupation

Church Membership*

Mother's Name*

Date of Birth

Occupation

Church Membership*

Parent's Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Parent's Phone*

Emergency Contact 1

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Emergency Contact 2

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Church Life

Name of Home Congregation*

Denomination*

Conference

Pastor's Name*

First Last

Pastor's Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Your Spiritual Life

Briefly describe your spiritual pilgrimage.*

Write a paragraph about your present personal devotional and prayer life (what it consists of and time allotted for it).*

What is your experience regarding moral purity both past and present?*

Have you ever been involved in sexual abuse (either as victim or abuser)? If yes, what subsequent steps have you taken toward restoration?*

What experience or responsibilities have you had in the church, Sunday school, youth group, mission program, or community organizations?*

How do you feel about the program, leadership, and discipline of your church?*

State your reasons for desiring to enter the Lord’s work with Olive Branch Mennonite Missions.*

If you know what your spiritual gifts are, how do you think you might use them on the field?*

Personal Statement of Christian Faith and Doctrine

1. What is your belief about God, the biblical account of creation, the fall and its consequences? *

2. Present your views on the inspiration and authority of Scripture and give some principles that need to be considered in the interpretation of Scripture. *

3. State what you believe about the person and work of Christ, including His deity, atoning death, bodily resurrection, and second coming. *

4. What is your understanding of the person of the Holy Spirit and His work in the life of a Christian? *

5. How does a person become a Christian, and what is the basis of Christian Assurance?*

6. What do you understand to be the nature, mission, and authority of the church? *

7. Give your views on the way of love in human relationships, especially as it relates to a Christian response to enemies, church-state relationships, and witness to government. *

8. What is your understanding of spiritual authority, and the roles of men and women and the Christian woman’s veiling?*

9. Describe your understanding of Christian evangelism and discipleship.*

10. State your convictions on the institution of marriage and state your convictions on divorce and remarriage.*

11. State your personal convictions on the use of the internet filters and accountability, social media, and computer games. *

12. Comment on your interpersonal relationships with your family, church, and community. *

13. What is your belief about the final destiny of the saved and unsaved? *

Present health*

Fair

Good

Execellent

If you have a physical weakness, allergy, disability, or any recurring medical problems, please explain.*

Your Physician's Name*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Name of health care/insurance company.*

Highest grade completed*

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

GED

Note any particular area of study

Have you had further training?

Bible School

College Education

Other

Please list name of School or College, Location, Dates Attended, Degree and Year Received.

Note any particular area of study

Other training or certificates

Present Occupation*

Employer's Name*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Your Duties and Skills*

Dates employed: From when to when?*

Previous Occupation 1

Previous Occupation

Employer's Name

Address

Street Address City State / Province / Region ZIP / Postal Code

Your Duties and Skills

Dates employed: From when to when?

Previous Occupation 2

Previous Occupation

Employer's Name

Address

Street Address City State / Province / Region ZIP / Postal Code

Your Duties and Skills

Dates employed: From when to when?

Interests and Abilities

Please Select Any Areas of Experience or Training.*

Academic Teacher

Administrative Work

Bible Study Leader

Bookkeeping/QuickBooks

Carpentry

Children’s Ministry

Cooking/Baking

Counseling

Electrical Work

Music/Song Leader

Nursing/EMT

Photography

Public Speaking/Preaching

Repair Vehicles/Appliances

Spanish

Sunday School Teacher

Other (Please note)

If other is checked please note.

Additional areas of Formal Training or Experience (or comments related to these)

Please tell us about your level of education, number of years of experience, grade levels taught, type of curriculum used, conventional or individualized style, preference of grades to teach, etc.*

To whom do you relate best?*

Children

Teens

Adults

What do you do for recreation, and what are your hobbies?*

What type of work would you like to do on the field? (Indicate choices in order of preference.)*

Please select one or more options.*

Pastoral Couple

Business Administrator

School Teacher

Personal Worker

If you have a preference as to place of service, state where.*

South Dakota

Nicaragua

Grenada

When would you be available for service?*

MM slash DD slash YYYY

How long would you be willing to serve?*

Are your parents and spouse (if married) in harmony with your convictions and plans?*

Financial Information

Are there any debts you will not be able to liquidate prior to service?*

Yes

How much and what are your plans for taking care of it?*

Have you any financial responsibility for anyone else?*

Yes

Please explain what they are.*

MISSIONARY’S PLEDGE

I realize that to be accepted as a missionary is to be entrusted with a sacred responsibility. In light of this and the OBMM Qualifications for Missionaries, I will, by the grace of God, subscribe to a life of: 1) Christian purity, 2) Cooperation, 3) Daily devotions with my Savior, and 4) Being willing to serve at assigned tasks. Thus, I will be an asset to God, my church, my home, and my work.

I agree to the Missionary's Pledge*

Yes

I agree to Olive Branch Mennonite Missions sending reference requests to my pastor, employer and personal references.*

Yes

Email*

Phone

This field is for validation purposes and should be left unchanged.