TREASURE STATE BAPTIST ASSOCIATION

Summer Missionary Application

Student Name:  Name you go by
Sex:  Male ___   Female ___   Date of Birth:   ___ / ___ / ___  Age _____

Marital Status:     Single ___          Engaged ___          Serious Relationship ___
Contact Address:  

 

 Contact Phone Number

 

  Email Address: 

 
School Name Attending:

            Class:              Freshman         Sophomore      Junior           Senior      (circle one)

            Major Area of Study:                                                                                              Aprx. GPA ______
            Vocational Choices: 

 
Semester Ending Date: Date Available:
Church Membership:

 

 How Long?

 

Do you attend church on a regular basis?                Yes ___           No ___

 
Pastor’s Name: Denominational Affiliation
Parents Names:

 
Permanent Address:

 

 

List Activities During College:

 

 
List Activities During High School: 

 

 
Areas of Preferred Ministry:  (ie., VBS, Backyard Bible Club, Survey Work, Preaching, Song Leading, Music Performance, Youth Ministry, etc.) 

 

 
Musical Instruments Played & How Long? 

 
Secular Employment Experience:
Name of Company City/State  Position Dates (From/To)
1.      
2.      
3.      
4.      
List your previous missions experience: 

 

 
Degrees of Experience in Following Areas:
  None Some  

      Lots

   None Some  Lots
VBS       Typing       
Solo       Puppets      
Choir       Sign Language       
Preaching       Lead Singing      
Lifeguard       Youth      
Drama       Children      
Other useful talents/skills in ministry:

 
Physical Limitations:

 

Medical Information:  (check any applicable)
___ asthma ___ heart trouble   ___ psychiatric counsel ___ diabetes ___ stomach trouble
___ migraines

___ nervous disorder

____ serious illness (Specify )

    
Have you been hospitalized in the last year?  If yes, why?

 
Are you on medications on a regular basis?  If yes, what and why? 

 

My Health is:             ___ Excellent                ___ Good        ___ Fair           ___ Poor  (check one)

Please list people who will serve as references for you:
Name & Relationship Address Phone
     
     
     
     

Are you a licensed driver?  ___ yes              ___ no

 
Describe driving record: 

 
Do you have a criminal record?  If so, describe: 

 

 

EXPRESSION OF CHRISTIAN FAITH
  1. Describe briefly your initial encounter with Jesus Christ and baptism experience.  How have these experiences and continuing relationship with Christ affected your life?

 

 
  1. As a college student, how have you shared your faith with others?  If possible describe a recent experience of sharing your faith with someone who was not a Christian.

 

 
  1. What is your vocational call and how do you anticipate sharing your faith through your call?

 

 
 

Signature

  

Date: