Please print and use black ink. Date of Birth Month Day Year. Name of Applicant. Name of Spouse. Children s Names

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1 The Preliminary Application Form and supporting documents previously completed along with this questionnaire are the Full Application for Appointment document. CanAmera Baptist Missions International believes that missions, missionaries and churches that plant churches are close to the heart of God and are the heartbeat of the Great Commission. Our desire is to stand behind those who are called and seeking to do the will of God. Our philosophy is that like will beget like. CanAmera Baptist Missions International is interested in the planting of soul-winning churches in fulfillment of the Great Commission. These new works will be churches that will see souls saved, converts baptized, and believers trained in the Word of God for the work of the ministry. In anticipation of your being accepted as a missionary under the name of CanAmera Baptist Missions International, we request that you fill out this questionnaire. If there is anything that calls for clarification, please do not hesitate to ask. Please print and use black ink. Date of Birth Month Day Year Name of Applicant Name of Spouse Children s Names

2 Your Home Address Field Address or Proposed Field of Service If this is your first term, please give name(s) of missionaries on the field that you propose to work with. Are they Baptist? If you are currently with a mission board, please provide their contact information including the name of your contact person. Are you currently on deputation or furlough? Yes No Which Bible college(s) have you attended? Which Bible college(s) did your wife attend? Do you agree with the doctrinal positions and philosophies held by the college(s) you attended? Yes No

3 Name any position they took with which you did not agree. Please give us your salvation testimony. Please give us your call to missionary service testimony. When do you anticipate being on the field? If this is your first term, have you made a survey trip? Yes No What was the duration of the survey trip? What did you do on your survey trip? Please attach a description of your trip. If your wife did not go with you, please explain why not. As a result of your survey trip, have you prepared a budget? Yes No Please attach a copy of your proposed budget. List personal and work fund requirements separately. Please explain how you arrived at your budgeted amounts. Did you lead anyone to Christ on your survey trip? Yes No When was the last time you won a soul to Christ? What ministries were you involved in at your home church? _

4 What was your last secular employment? Why are you a Baptist? What is your position on the following issues? Calvinism and reformed theology? Armenianism? The local church? The Charismatic - Sign - Gifts movement? Seeker Friendly - type churches? The Universal Church? Eschatology - what is your position? Baptism? Be very specific about who and mode. Music? Dress Standards?

5 Do you take a position on ladies wearing pants/trousers? Do you take a position on hair length for both men and women? Please explain your position. Is your wife in full agreement with your position on the previous four items? Why do you want CanAmera Baptist Missions International to be your missions agency? What is your personal philosophy about mission boards? Name some preachers who have had great influence on you. Has anyone else been influential in your decision to be a missionary? What books, apart from the Bible, have been influential in your spiritual growth? What will your primary ministry be upon arrival on the field? State your position on the Bible.

6 Medical Report Attached Yes No If not attached, please give the reason. Credit History Attached Yes No If not attached, please give the reason. Police Background Check Attached Yes No If not attached, please give the reason. We understand that your time is valuable and that this questionnaire will take some thought and time to complete. Please do not view this in a negative light. This will help us to be a help to you and further the cause of Christ in world evangelization. We look forward to establishing a cohesive working relationship with you and your sending church. If your previously submitted doctrinal statement adequately answers any of the questions in this questionnaire, please answer with refer to doctrinal statement. Please feel free to expand your answers on a separate sheet of paper if necessary. I certify that I have answered all the questions truthfully and to the best of my ability. Applicants Name Signature Spouse Signature Date Forward completed forms to attention of: General Director CanAmera Baptist Missions International c/o Pembina Valley Baptist Church P.O. Box 415 Winkler, Manitoba R6W 4A6 Canada Phone: (204) Fax: (204) CanAmeraMissions@mts.net