Dear locally-based missionary / ministry staff,

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1 Dear locally-based missionary / ministry staff, We commend you for your obedience and sacrifice to the Lord in surrendering to full-time Kingdom service. The desire and goal of CCF s leadership and missions committee is to facilitate and promote the great commission of going and making disciples for Jesus. A close relationship/partnership with our supported missionaries is our desire, not an impersonal mailing of a support check. To be considered for continued monthly support, the locally-based applicant should be an active member of CCF, regularly participating in Sunday morning corporate worship, a small group (Life Group, prayer/bible study group, etc.), and serving faithfully at CCF in some capacity. Highest priority will be given to those who are also plugged in to CCF the most and who have the most financial needs. We want our locally-based supported missionaries & ministry staff to be a part of the very fabric of CCF. If you d like to re-apply for monthly support from CCF next year, please fill out this form thoroughly and return it to CCF s missions pastor or a missions committee member in July (no later than July 31 st )*. Also give the included Involvement Reference Form to your CCF Life Group leader (or another leader of a CCF small group you participate in regularly, such as CCF Alive, prayer/bible study group, etc.). Your application will be reviewed by the missions committee, and recommendations will be made to CCF s elders by November for their final approval. All CCF-supported missionaries are required to re-apply each July for monthly financial support the next calendar year. Failure to do so will unfortunately result in the termination of your support at the end of the calendar year. Based on our budget and the number of applications submitted, CCF may not be able to support all applicants & re-applicants. This may not reflect on the importance or value of your work, but may just be that funding is not available at the time. We would appreciate your prayer support as we make these difficult decisions. God bless you! The CCF Missions Committee * Make sure you have downloaded the most current application each summer from:

2 Community Christian Fellowship Missions Support Re-Application for Locally-based Missionary/Ministry Staff State Highway 110 North; Lindale, TX Phone: Fax: Personal Information Today s date Full Legal Name (First-Middle-Last + nickname if applicable) 1. Head of household (& spouse if applicable) 2. Names of children living at home 3. Present mailing address City/State/Zip 4. Physical address (if different) City/State/Zip 5. Home Phone 6. Work Phone(s) 7. Head s mobile phone 8. Spouse s mobile phone 9. Head s address 10. Spouse s address 11. Website and/or blogsite 12. Emergency contact person: Relationship Phone numbers (home/cell) Mission Organization & Personal/Ministry Information 13. Your mission/sending organization Website Mailing Address: 14. Name of supervisor, leader or board chairman you answer to: His/her Phone 15. How often do you report to your supervisor/leader/board of directors? 16. If you have a 501C3, how often does the board meet? Describe their active leadership in the ministry: 17. How long have you been a part of this organization (or when was your 501C3 established)? 18. If you (& spouse) are involved in periodic outreach/travel, how often and where to? 19. Describe your organization s role in fulfilling the Great Commission (what specifically does your organization do?)

3 20. Describe your roles or duties as part of this organization? (spouse s roles too, if applicable) 21. Your ministry work hours*: (am/pm) to (am/pm); days of the week: Spouse s ministry work hours*: (am/pm) to (am/pm); days of the week: Hours per day / week you normally work in the ministry* (e.g. 8/40): Head: Spouse: * not including tent making, homeschooling, housekeeping & personal work 22. Do you [both] have consistent, daily devotions? 23. If married: a. Describe your marriage s health/strength: b. Do you and your spouse/family have regular/consistent prayer times together (besides over meals)? c. Is your marriage/family in the proper order as described in Col. 3:18-21, Eph. 5:22-33 & 1 Peter 3:1-8? Explain: d. Who is the priest / leader / spiritual head of the home? Explain: 24. What were your personal ministry goals in the past year and how were they accomplished? 25. What are your personal ministry goals for next year and how do you expect them to be accomplished? 26. How does your personal work impact people for the Gospel? 27. Give an example of how the Lord has used you recently to minister to the lost and disciple new/pre-believers outside your normal work duties. Financial Information 28. Is your ministry position a paid one (salary/hourly)? If so, how much per month? 29. If applicable, is your spouse s ministry position a paid one (salary/hourly)? How much per month? 30. If applicable, how much monthly income does your missions organization require you to raise? 31. Your monthly income (donations) from churches, individuals, etc.: $ /month [ % of required]

4 32. What is your Total Gross Income (TGI) from ALL sources for the previous calendar year? (Note: in calculating your TGI, do not subtract taxes, liabilities, deductions or obligations of any kind): 33. What is your net worth or total combined value of all your assets including bank accounts, investments, real estate, vehicles, etc., MINUS liabilities, mortgages, outstanding loans or contractual obligations? Less than $50,000 $50,000 to $100,000 $100,000 to $250,000 $250,000 to $500,000 $500,000 to $1M Over $1,000, Financial shortfall: $ /month ( % of needed/required) 35. How many churches / individuals / organizations are supporting your missions endeavor? a. Churches b. Friends/Acquaintances c. Family members d. Organizations/businesses e. Other 36. If you supplement your income with a part-time job ( tent-making ), rentals, etc., what type of work do you do & how many hours per week do you put in? 37. How much financial debt do you have and why? (credit cards, outstanding loans, etc.) Your credit rating: excellent / good / fair / poor 38. What percentage of your total income do you regularly tithe or give financially to God s kingdom? % To what local/home church or ministry? Church Commitment Information 39. How long have you (& spouse) been an active member of CCF? 40. Which of these CCF services/activities do you attend/participate in regularly?* (check all that apply): Sunday worship services Refresh (Sunday School) classes Life Group Prayer meeting Men s Wed. prayer meeting Ladies Bible Study Men s monthly breakfast Women s fellowship potluck Staff prayer (open to public) 41. Which of these CCF ministries have you served in regularly in the past year?* (check all that apply): Altar ministry Communion Ministry Worship (including A/V) Awana helper Men on the Wall Helping Hands Childcare (nursery/toddlers) Children s Ministries Youth Ministries College & Career Ministries Refresh class teaching Moms Inc Life Group leader/host Men s Ministry Women s Ministry Usher/Greeter Transportation (bus driver) Dance / Drama / Art Prison Ministry Food for the Sick Office volunteer Missions committee CCF Ministry Outreaches CCF leadership position(s) Other: * Highest priority will be given to applicants most involved. We realize that multiple activities are challenging for families with children, but children can be included in many of these (Awana, Nursing Home, etc.). 42. Do you consider CCF to be your home church? Explain: 43. Do you [both] agree with the CCF doctrinal Statement of Faith (

5 44. If applicable, what other church are you a member of? In what way have you (do you) serve in that church? 45. Does that church support you financially? Yes, $ /mo. No Pending 46. Who do you consider your spiritual leader or accountability partner? His/her Phone Health / Medical / Spiritual (if married, both should initial each applicable category) 47. How would you describe your present state of physical health? Excellent Good Fair Poor 48. What ongoing/recurring conditions/issues have you experienced/struggled with in the past year? diabetes, heart disease, hypertension, history of seizures, severe allergies, dietary restrictions, depression, bi-polar, special medication needs, drug/alcohol abuse, nicotine use/addiction, gambling, lust/pornography, sexual addiction, TV/internet/video game over-indulgence, eating disorder, anger issues, fear/anxiety, rejection issues, control issues, independent/non-submissive, bitterness, self-abasement, pride, critical/judgmental, religious spirit, laziness, workaholic, other/explanations: Overflow (use the area below if there was not enough room to answer previous questions)

6 Agreement Between CCF and Applicant(s) Head Spouse I, [and ], agree to the terms communicated in this mission application packet to the best of my/our ability. Please check boxes: I agree to uphold to the best of my ability the name of Jesus Christ and His principles. I agree to fill out the accompanying questionnaire and personal information forms completely and truthfully, acknowledging that avoidance/omission of requested information constitutes deception. I agree to quickly inform the missions committee of any changes to my status as an active missionary or ministry staff personnel, change in field of service or change in ministry/sending agency. I understand that CCF allows a total of one-month inactive duty (vacation, furlough, fundraising, etc.) per year, and monthly support will be withheld beyond that until I am back on duty (extenuating circumstances will be examined on a per situation basis). I agree to send a brief update & prayer needs report electronically to the CCF missions committee on a monthly basis for the purpose of accountability and prayer support (to be sent at least three days before the committee s monthly 2nd Monday meeting). I understand that in order to be considered for continued support next year I need to continue to be an active, participating member of CCF, involved and serving in some capacity. With my signature I agree to all that is written in this packet and that all of the information I have provided is true and correct to the best of my knowledge. I understand that failure to follow through with these commitments can lead to termination of financial support from CCF. Head Signature / date Spouse Signature / date

7 Community Christian Fellowship State Highway 110 North, Lindale, TX Phone: Fax: Involvement Reference Form for CCF Life Group leader (or leader of other regularly attended CCF small group) Applicant s name(s) Today s date CCF Group leader(s) Group Phone (please print clearly) 1. How long has/have the applicant(s) been active in your group/class/ministry? 2. How frequently has/have the applicant(s) attended? Weekly Twice a month Monthly Infrequently 3. How much do/does the applicant(s) participate? Actively Occasional Observer Disconnected 4. Describe their level of participation: 5. How would you describe the applicant s spiritual walk? 6. To your knowledge does the applicant (& spouse) have any ongoing/reoccurring emotional/spiritual issues/addictions? (underline): drug/alcohol abuse, depression, anger, lust/pornography, sexual addiction, eating disorder, other/explain: 7. Can you whole-heartedly recommend the applicant(s) for CCF support? 8. Explain any concerns you may have: 9. Additional thoughts & input: Please , fax or seal this form and send it to the above address in c/o Missions Committee. Please do not give this confidential form back to the applicant. Thank you for your time and input for this individual and his/her missions organization!

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