If you are interested in a serving opportunity or want to learn more about how you can get involved with Fellowship International, please fill out our preliminary questionnaire. We look forward to hearing from you! * 1. Name: * 2. Marital status: Please select an option Single, never married Married Separated Divorced Widowed 3. Spouse's name: * 4. Mailing address: * 5. City/Province: * 6. Postal code: * 7. Daytime: ( ) - 8. Cell: ( ) - * 9. Email: * 10. Country of birth: * 11. Citizenship: 12. If naturalized, when and where? * 13. Date of birth: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 * 14. Number of children: Please select an option 0 1 2 3 4 5 6+ * 15. Present occupation: * 16. Highest level of education completed: 17. What plans, if any, do you have for further study? * 18. How would you rate your health? Please select an option Vigorous Good Fair Poor 19. Describe any impairment (physical, mental, spiritual) that could affect your ability to perform the tasks in which you are interested. 20. What obligations do you have that might be difficult to fulfill if serving overseas? * 21. Name of church you attend: * 22. Address of your church: * 23. Church phone number: ( ) - * 24. Pastor's name: * 25. Have you discussed your interest in missionary service with your pastor or church leadership? Yes No * 26. Do we have permission to contact your pastor or church leadership? Yes No * 27. When did you become a Christian? * 28. Date and mode of baptism: * 29. List your practical experience in Christian work: * 30. Have you had experience leading someone to the Lord? Yes No * 31. Were you ever formally discipled? Yes No * 32. Have you formally discipled others? Yes No * 33. Have you read The Fellowship's Statement of Faith (www.fellowship.ca/WhatWeBelieve)? Yes No * 34. Are you in agreement with The Fellowship's Statement of Faith? Yes No * 35. Have you previously applied to, or are you presently associated with another mission agency? Yes No * 36. What country, region, people-group or specific work interests you? * 37. Briefly describe your desire/call to missions. * 38. Have you ever had overseas ministry experience? If so, please describe. * 39. Have you ever lived in or experienced a cross-cultural setting? Yes No * 40. Please give any further details/explanation of your ministry desires. * 41. What is your first language? * 42. What other languages can you speak/read/write? * 43. What other information, if any, might help us know you better? 44. If you have been in discussion with a Fellowship staff member up to this point, please indicate the staff member's name. * 45. How did you hear about Fellowship International? Please select an option Internet Social media Video Conference/Event Pastor Other 46. If you selected "Other" from the drop down menu in question #45, please explain how you heard about Fellowship International. * 47. How long have you been thinking about missions? * 48. What made you decide to take the step to fill out this form?