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Action International Ministries wants to help you get involved in missions. 

This initial contact form is your first step in exploring a relationship with us.

By completing this form, you will give us some valuable insights about yourself and your interests. This will help us give you meaningful counsel as to your next steps in missions.

This does not obligate you in any way, but it may be used of God to open new doors for you.

Action International Ministries is committed to keeping your personal information secure. Your information is used solely in relation to your partnership with Action International Ministries. We will not sell, trade, or rent your personal information to anyone. Our staff is required to respect the privacy of such information and employs procedures and technologies so as to reasonably protect against the inadvertent disclosure of such information to third parties.

General Information
To Which ACTION Office are applying?
Name (Last, First, MI): ,
Email:
Phone:
Age:
Gender: Male Female
Mailing Address:
City:
State/Province:
Zip Code:
Country of Citizenship:
How did you find out about ACTION?

Family Information
Marital Status: Single Engaged Married
Separated Widowed Divorced
Name of Spouse:
Dependent Children and Ages:

Health Information
Health Status: Excellent Good Fair
Note any potential health concerns:

Education and Experience
Level of education completed:
Name of School:
Graduation Year:
Major or Degree:
Spouse's level of education completed:
Name of School:
Graduation Year:
Major or Degree:
List any technical or professional training:
Describe any formal or informal Bible training, including where:
Current occupation:
Company:
Since (year)
Other work or business experience:

Christian Life
When did you trust Jesus Christ as your Saviour:
Church you attend:
Since (year)
Denomination or affiliation:
Describe Christian and community work you have done:

Missions
What is your primary motivation/desire for considering service overseas?
Country or region you're interested in:
ACTION ministry you're interested in:
Are you interested in Short Term Ministry (2 weeks - 2 years)? Yes No Unsure
If "yes", what time length would you like to serve for?
When would you be available to serve?
Are you interested in Long Term Ministry (over 2 years)? Yes No Unsure
List any current obstacles to your personal involvement in missions:
Do you feel God is leading you into missionary service: Yes No Unsure
Please explain why:
Are you willing to raise your own support? Yes No

Doctrinal Position
Please read ACTION's brief doctrinal statement as posted in the About Us section of our website. Do you agree wholeheartedly with our doctrinal position?
Yes No

Security Code

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