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Missions Service Application

Please complete this application form in full, answering every question. Please fill in "N/A" for any question that does not apply. If the application is being submitted by a married couple, separate forms should be used by husband and wife. Please answer all questions very specifically.



Name, Address, and Phone
Name:
Email Address:
Phone Number:
Postal Address:
Date of Birth:
Country of Birth:
Country of Citizenship:
Name of Parent or Guardian: * If you are under 21
Phone Number of Parent or Guardian: * If you are under 21


Education and Occupation
Please arrange to have a transcript of your highest level of education (either high school/college or university) forwarded to us.
Years Completed
Secondary/High School Attended:
University/College Attended:
Bible School Attended:
Other:
Present Occupation:

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?
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?
If "YES", please give details:
Are you interested in a partial tour of Ireland sometime while you are in Ireland?


Health and Medical
Have you ever been treated or hospitalised for any serious illness or emotional disorder?
Do you have any physical disability which impairs your activities in any way?
Are you restricted to a special diet?
Do you have any chronic health problems?
Do you regularly take prescribed medication?

For each of the questions you answered "YES" to above, please provide full details below:

List any immunisation and vaccinations which will still be current and valid for the complete time you
will be in Ireland:


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?

If so, what are their feelings?

Are you actively engaged in Outreach from your Assembly/Church?

If so, in what capacity?

Are you involved in any Christian work at present?

If so, what?

What experience have you had in literature evangelism? Describe briefly:

Do you have any special talents?

If so, please describe:


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"?

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:


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)

Employer:

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 Assembly or Church who will promise to pray for you while you are in Ireland.

Name:

Address:

Name:

Address:


Missionary Exposure Team or Longer Term of Service
The following questions must be answered only by those applying to join for Longer-Term service or as a Full-Time worker.

Are you prepared to face the hardships of missionary life?

Has God given you a burden for any particular type or method of missionary work in Ireland?
If so, please describe:

Do you have experience in any specialised skill, trade, or profession?

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?

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?

What is their reaction and feelings?

Will your assembly or church help to financially support you?



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 . I plan to arrive on and to leave on . I have sent a Cheque/Postal Order for 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.


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