Missionary Internship Application

Please complete the application below and select submit when finished.

Today's Date

Personal Information

Email*

Name

Prefix First Middle Last Suffix

Gender

Male
Female

Birth Date

Street Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Mobile Phone

Work Phone

Emergency Contact Person*

First Last

Emergency Contact Person: (other than spouse)*

First Last

Marital Status

Spouse's Name

First Last

Spouse's Birth Date

Is your spouse applying with you?

Yes
No

Do you have any children?

Yes
No

Child's Name

First Last

Child's Age

Please enter a number from 0 to 18.

Is child living with you?

Yes
No

Employment History

Current or Last Employer*

Your Job Title

Employer Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Employment Start Date*

Employment End Date

Leave Blank If Current

Hours Per Week

Please enter a number from 0 to 100.

May we contact employer?

Yes
No

Supervisor's Name

First Last

Supervisor's Number

Minister and Personal Recommendations

Minister's Recommendation

Name

First Last

Email

Phone

Personal Recommendation

Name

First Last

Email

Phone

Spiritual History

When were you born again?*

When were you spirit-filled?*

SECULAR EDUCATION HISTORY

Please list your SECULAR education history:

Institution / Program:

Address

City State / Province / Region

Year Completed

Received:

Institution / Program: (Additional)

Address

City State / Province / Region

Year Completed

Received:

BIBLICAL EDUCATION HISTORY

Please list your BIBLICAL education history:

Institution / Program:

Address

City State / Province / Region

Year Completed

Received:

Institution / Program: (Additional)

Address

City State / Province / Region

Year Completed

Received:

CHURCH HISTORY

Where do you attend Church?

Address

City State / Province / Region

Pastor

First Last

Church Phone

Are you a member?

Yes
No

How long?

Are you tithing to your church?

Yes
No

MINISTRY HISTORY

To what areas of ministry have you been called?

Is your spouse in agreement with your call to the ministry?

Yes
No

Please explain.

Is he/she in the ministry also?

Yes
No

Please describe:

Please list your Ministerial Experience, or area of service in your church, and for how long:

Are you involved in ministry now?

Yes
No

Where?

In what capacity?

Full-Time or Part-Time

Full-Time
Part-Time

Briefly describe why you are applying to the missionary internship training program:

Briefly explain previous cross-cultural ministry experiences:

Before you type to sign the application, please read the following carefully. Your signature below acknowledges that: -The information in this application is true, to the best of your knowledge; -You will commit yourself to a lifestyle consistent with the principles of God's Word; -You will submit to the operating policies and ministry of Victory Church; -You will seek to be a good steward of the gift of ministry which the Lord has placed within you by offering yourself as a faithful servant to Him; -You will respect your fellow participants by the use of edifying words and the demonstration of the fruit of the spirit; -You will diligently seek to glorify the Father in word and in deed;

Signature (full name)