Preliminary Form
Completing this form will provide us with some initial information on your motivation, background and experience. This will help us to know more about you before beginning the formal application process.
Name
Address
City
State
Zip
Day Phone
Evening Phone
E-Mail
Birthdate
(mm/dd/yy)
Citizenship
Religion
Marital Status
Name of Dependent(s)
Age
Dependent 1
Dependent 2
Dependent 3
Dependent 4
Tell us about yourself
Year Graduated
Name of high school
Name of college/university
Degree
Name of graduate school
Degree
Name of trade/technical school
What is your present occupation?
Place of employment
Foreign language skills
Excellent
Good
Fair
Geographical area(s) of interest
Africa
Central America
Pacific Island
How is your mental and physical health?
List or briefly describe any special
technical skills.
List or briefly describe any overseas travel or living experience.
List or briefly describe your church and volunteer involvement.
What type of work/ministry do you hope to do?
Are you aware that there is a four month preparation course before being sent overseas? (
Click here
for details)
Yes
No
Are you willing to make a 3 year commitment to Lay Mission Helpers?
Yes
No
Briefly explain why you are interested in serving as a lay missioner with the Lay Mission Helpers Association.
What questions do you have for Lay Mission Helpers?
How did you hear about Lay Mission Helpers?
