International Ministries - Missionary Assistance Program (MAPS) Application Form

"*" indicates required fields

Personal Information

Please write clearly using block letters.
Name*
Address*
MM slash DD slash YYYY
Country of citizenship:*
If you are married and have children, list spouse and children's names and birthdates:*
Names
Relationship
Date of Birth
 

Closest living relative

Name*
Address*

Health Information

Are you in good health?*
Do you have any physical disabilities?*

Personal Reference

Name*
Address*

Christian Background

MM slash DD slash YYYY
MM slash DD slash YYYY
Are you licensed or ordained as a minister?*

Home Church or Supporting Church Information

Pastor's name:*
Church Address*

Accountability

Information of the Pastor or Senior missionary whom you will be accountable to.
Pastor/ Missionary Name*
Pastor/ Missionary Country*

Prayer Team

Prayer Team Information*
Name
Email
 

Support Group

Information of the team who can help in case of emergencies, such as medical emergencies.
Support Group Information*
Name
Email
Phone Number
 

Academic Background

MM slash DD slash YYYY

Occupational Background

List your previous employer:
MM slash DD slash YYYY
MM slash DD slash YYYY

Mission Field Information

In what country?*
MM slash DD slash YYYY
Give details of other missions groups you have been involved with or served with as a short or long-term missionary. Give a brief overview of the missionary work you have done, with what group, and the dates you were there:*
Missions Group
Activities
Dates
 

Mailing Information

To what address do you want correspondence sent to on the mission field?*
Do you prefer to have your checks deposited in an account in the United States while you are overseas?*
Address of the Bank*

Contact Person: (Person handling mail or finances)

Name*
Address*
Please handle my Monthly Check in the following way:*

Please send my Monthly Contribution Report to:*

Financial Information

Has your school bill been completely paid?*
Do you have any unpaid pledges?*
Do you have credit accounts or loans:*
Consent*
Consent*
Consent*
MM slash DD slash YYYY