GILLBT Discovery Application

  1. Full Legal Name:...... (Surname) (First name) (Others)
  1. Date of Birth:...... Age:...... Sex: M / F
  2. Place of Birth: ......
  3. Present Address (School):......
  4. Tel.:...... Mobile:...... E-mail:......
    Best time to call:......
  5. Permanent Address (Home):......
  6. Marital Status: Single Engaged Married Full legal name of spouse......

Have you been divorced? Yes No If yes, please explain......

Do you have children? Yes No If yes, how many......

  1. Have you ever been in jail, prison or convicted of a felony? Yes No If yes, please explain......
  1. List college, trade school, Bible school, etc. beginning with the present. (List three only)

School name and location / Years
(From-To) / Major / Minor / Degree, certificate,
semester hours complete

What year are you in school?...... When will you graduate? ......

10. Briefly describe any experience/training you’ve had & your level of competency:

My skills & interests related to Discovery are:

Translation/Literacy

Computers/Programming

Accounting

Teaching/Tutoring

Secretarial/Office

Writing/Journalism

Construction/Maintenance
(Others)


11. List your hobbies and other interests:

12. What is your first language?
What other languages do you speak? (1 = very little, 2 = basic conversation, 3 = fluent)

(Answer question 13, 16 & 20 on the back of the pages if you need more space… please indicate the question number)

13Please describe how and when you came to know Jesus Christ as Savior. Trace your Christian growth since that time. Please give a Scriptural basis for believing you are a Christian

______

  1. What are your habits of Bible study and prayer?

15. How have you grown spiritually in the last year? Explain.

16 Write a detailed statement explaining why you feel motivated to be involved in missionary work and why you desire to participate in a Discovery trip.

17. Previous overseas experience? List country, dates, length of stay, and purpose for each experience.

18. What is the attitude of your parents, girlfriend/boyfriend (if dating) toward your missionary interest.

18a. How do your parents feel about you traveling to the North?

  1. How regularly do you attend church, church-related activities (Sunday school, prayer meetings, Bible study, etc.), and other Christian meetings?
  2. How are you involved in your local church? In other ministries?
  3. Church you consider your home church:
    Pastor’s Name______
    Church Name______
    Address
    CityPhone E-mail
  4. Have you discussed your desire to go on a missions trip this summer with your pastor? Yes No
    The missions committee of your church? Yes No What was their response?
  5. Who will take an active part in sending you out as their short-term missionary?
    (church, parents, friends, family, etc.)

By becoming prayer partners? ______
By supporting you financially? ______

  1. One Pastor or leader in your church (who knows you well) and oneSpiritual mentor whom GILLBT can contact for a reference:
    Pastors Name ______Mentors Name ______
    Address ______Address ______
    City ______City ______

Phone ______Phone
E-mail ______E-mail

HeightWeightBlood Type

  1. Do you have any health problems or physical limitations that might hinder your work in a different climate, high altitude or adverse living conditions? Yes No If yes, please explain.

Are you allergic to any foods, animals, medicine, or pollens?Yes No If yes, please list.

Has your reaction ever required emergency room care? Yes No If yes, please explain.

Do you use any type of medication regularly? Yes No If yes, please explain.

  1. In the past two years have you used tobacco, alcoholic beverages or drugs? Yes No If yes, please explain how recently, how frequently, and in what quantities.

Name
Address
Phone ______Relationship ______

E-mail ______

I give you permission to use this application as a source of information for Wycliffe & GILLBT personnel I will be working with during my time with Discovery.

Applicant’s Signature ______Date______

NOTE: Each selected participant will contribute a refundable “RESOURCE” fee of GH¢ 20 upon acceptance.

Note also that selected applicants will be expected to raise an amount not less than GH¢ 200 to supplement expenses for participation. In addition to the above, you will need to make some provision for pocket money to cover your minor expenses. This must start immediately you have the conviction to take part in this programme.

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CONTACT US THRU:

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Michael Serchie (0244162592)

GILLBTChurch Relations Department

P. O. Box OS 3063

Osu-Accra

Tel.: 0302 775131/772042

Please E-mail your completed application to: and

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