Ireland Outreach Application Form

Complete this application form in full, answering every question. If any question does not apply to you, mark it "N/A". If application is submitted by a married couple, separate forms should be used by husband and wife. Please answer all questions very specifically.

Name
Mailing Address
Phone Number

 

Address good until
Permanent Address
Phone number
Date of Birth
Age

Country of Birth
Citizenship

Parent, Guardian or nearest relative (name)
Phone number

 

Education and Occupation

		years completed
Secondary/High School attended		0 1 2 3 4 5 6 7 8 9 10+
University/College attended		0 1 2 3 4 5 6 7 8 9 10+
Bible School attended		0 1 2 3 4 5 6 7 8 9 10+
Other
Present Occupation		0 1 2 3 4 5 6 7 8 9 10+
Name and Address of Employer or if a 'student', give name of school, year & course of study:
Do you have any specialised skills? If so, please list them:

Marital Status 

What is your marital status?	--- Single Engaged Married Widowed Divorced
If engaged, when do you plan to marry?
If married, give date of marriage
Name of husband or wife
		Birth Date
Names of children (if any)

Finances

(This information will be confidential)

What amount of money do you expect to have for your expenses
Have you a financial obligation to anyone which would extend through the time you expect to spend with Ireland Outreach?	--- Yes No
If "YES", please give details
Are you interested in a partial tour of Ireland sometime while you are in Ireland?	--- Yes No

Health and Medical

Have you ever been treated or hospitalised for any serious illness or emotional disorder?	--- Yes No
Do you have any physical disability which impairs your activities in any way?	--- Yes No
Are you restricted to a special diet?	--- Yes No
Do you have any chronic health problems?	--- Yes No
Do you regularly take prescribed medication?	--- Yes No
If your answer is "YES" to any of the above questions, please submit full details for each question below:
List any immunisation and vaccinations which will still be current and valid for the complete time you will be in Ireland

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Spiritual

When did you personally trust Christ as Saviour and under what circumstances?
When and where were you baptised?
Name and Address of Assembly/Church where you fellowship?
Have you discussed your application with your elders?	--- Yes No
If so what are their feelings?
Are you actively engaged in Outreach from your Assembly/Church?	--- Yes No
If so, what activity?
Are you involved in any Christian work at present?	--- Yes No
If so, what?
What experience have you had in literature evangelism? describe briefly
Do you have any special talents?	--- Yes No
If so, give details

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Personal Beliefs

What do you believe about God?
What do you believe about Jesus Christ?
What do you believe about the Holy Spirit?
What is your understanding of the Holy Spirit in relation to your personal life as a Christian?
Do you believe in Christians today "Speaking in tongues"?	--- Yes No
If so, please explain
Do you speak in tongues and seek to propagate this belief?
What do you feel is the importance of prayer in your Christian life?
Comment on your attitude towards the absolute discipleship demanded of followers of Christ by the Lord in Luke 9:23-24
Comment on the authority of the Bible

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References

Be sure to notify your references that you have given us their names and that they will receive forms from us. Encourage them to return the forms promptly. PLEASE DO NOT LIST RELATIVES AS REFERENCES.

Assembly Elder/Church Deacon
Address
Phone Number
Assembly Elder/Church Deacon
Address
Phone Number
Assembly Correspondence/Church Pastor
Address
Phone Number
Friend
Address
Phone Number
Employer (If you do not wish to give your present employer, you may give the name & address of a previous employer. A part-time employment reference is also acceptable)
Address
Phone Number
Bible School Dean or Instructor (if you attended one)
Address
Phone Number
Give the names & addresses of two Christians (outside of your family) in your Church or Assembly who will promise to pray for you while you are in Ireland.
Name
Address
Name
Address

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Missionary Exposure Team or Longer Term of Service

The following questions must be answered only by those applying to join the Missionary Exposure Team or as a full-time worker.

Are you prepared to face the hardships of missionary life?	--- Yes No
Has God given you a burden for any particular type or method of missionary work in Ireland	--- Yes No
If so, what type?
Do you have experience in any specialised skill, trade profession?	--- Yes No
If so, please list:
What did you do prior to your present occupation?
Please state how much notice you have to give to your employer in order to resign from your present occupation
Have you had any serious illness, operations or nervous breakdowns?	--- Yes No
If so, please give details
Do you owe money to anyone?
If so, how much?
Is any person financially dependent on you?
What local church(es) do you expect to commend you? Give name(s) and address(es)
Have you discussed the matter of commendation with your elders?	--- Yes No
What is their reaction and feelings?
Will your assembly or church help to financially support you?	--- Yes No

Please arrange to have a transcript of your highest level of education (either high school/college or university) forwarded to us.

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CONCLUSION

ALL who work with the fellowship of Ireland Outreach must:

1) be at least 17 years of age to join the Summer Team

2) be at least 18 years of age to join the Missionary Exposure Team or to work for a longer term of service

3) be willing to co-operate and work in close fellowship with other Christians.

4) be willing to work with, and unconditionally accept the leadership of Assembly missionaries and others who have been given responsibilities of leadership in Ireland Outreach.

5) spend time in the study of the Bible, and in prayer that your service will be effective for the Lord in Ireland. This preparation will include reading recommended books and familiarising yourself with the contents of a manual which will be sent to you as soon as you have been accepted as a team member.

I HEREBY make application to Ireland Outreach for participation on a --- Summer Missionary Exposure team/as a --- Full-Time Worker. (Please state whether for a Summer or Missionary Exposure Team OR as a full-time Worker)

I plan to arrive on and to leave on

I have sent a Cheque/Postal Order for --- $25.00 or £10.00 for longer term of service $25.00 or £10.00 for Missionary Exposure Team $20.00 or £10 for Summer Team as application fees (to cover costs of orientation material and postage)  which I understand is NON REFUNDABLE nor applicable as a deposit towards the team fees, to the following address:

Ireland Outreach International, Charleville, Harbour Road, Dalkey, Co. Dublin. Ireland

By clicking on the Submit button below, I UNCONDITIONALLY ACCEPT the above (Nos. 1-5) conditions for working with Ireland Outreach.