Texas Baptists Missionary Application

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1 Texas Baptists Missionary Application Personal Information Title (Dr./Mr./Mrs./Rev.) Gender Date of Birth Name (first, last, M.I.) Preferred Name Marital Status Spouse Name Emergency Contact Name Phone Contact Information Home Phone Cell Phone Work Phone Preferred Contact Method Church Membership Information Present Church Membership Pastor Name Church Phone How long a member? (years)

2 Education Degree/Level Major Other Licenses or Certificates: Are you ordained? Employment Current Employer Position Dates of Employment Previous Employer Position Dates of Employment Previous Employer Position Dates of Employment Skills/Abilities/Languages Skills/Abilities: (list skills and proficiency)

3 Languages: (list languages and proficiency--beginner, intermediate, advanced, fluent, or native speaker) 1) 2) 3) Health or Physical Restrictions or Limitations If you have any health or physical restrictions or limitations that would prohibit you from performing certain types of tasks, please list the type of tasks you are unable to perform on a separate sheet and attach it to this application. Pastor Reference Name: Church: Phone Number: Personal References Name: Relationship: Phone Number: Name: Relationship: Phone Number:

4 Are you applying for a specific Texas Baptists Missionary request? If so, which one? CHURCH RECOMMENDATION The of Whole-heartedly recommends to the Baptist General (Applicant s name) Convention of Texas as sound in his/her faith and is spiritually equipped to serve as a Texas Baptists missionary. Signature: (Pastor/Church Clerk) Date: COVENANT: Church to Volunteer covenants to help this missionary prepare for this (Church) assignment. We commit to encourage and support this volunteer through prayer, resources and wise counsel. We will do everything within our power to make this a meaningful and fulfilling experience for him/her. Signature: (Church Representative) Date: COVENANT: Missionary to Church I covenant to spiritually prepare for this assignment, to participate in training that will equip me to do the best job possible, and to seek to have a servant heart. I pledge that my conduct, in word and deed, will honor the Lord Jesus Christ and the words of my mouth and the meditations of my heart will be pleasing in His sight. I will employ my skills, talents, and spiritual gifts in the building and expansion of the Kingdom of God in the place where I serve, as God gives me strength and wisdom. I covenant to act respectfully toward my designated leaders and also toward other co-laborers in this ministry effort. Signature: (missionary) Date:

5 RESPONSIBILITY AND RELEASE: I understand that I will be responsible for my medical needs during the period of my missionary assignment. Furthermore, I understand that neither my local church, association, or the Baptist General Convention of Texas will assume responsibility for loss of my property, or damage to the same, personal harm or illness that may occur, and I, for myself, do hereby absolve my local church, association, or the Baptist General Convention of Texas and hold them harmless for any claim or demand which I or they might conceivably assert upon the basis of the foregoing. In addition, I further understand that I am not an employee and am serving the Baptist General Convention of Texas as a volunteer. As a result, I am not eligible for any benefits and protections afforded an employee. Further, the Baptist General Convention of Texas shall not control or direct, nor shall the Baptist General Convention of Texas have any right to control or direct the details, methods, manners or means by which you perform your ministry in order to achieve the desired results. Signature: (volunteer) Date: Current Photo

6 BELIEF AND PRACTICE STATEMENT 1. State briefly how you came to faith in Jesus Christ: (include age, place, circumstances of conversion and when you were baptized) 2. Describe your call to missionary service. 3. What is your current involvement in evangelism and missions? How important is this to you?

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