Date of planned arrival in Mexico: __________________________________________________
Do you plan to bring a vehicle? ____________________________________________________ Marital Status: Single Married Divorced Separated Remarried
If divorced, separated or remarried, please give the relevant history. __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
Spouse Information
Full Name: ____________________________________________________________________
Ministry or Missions Experience, Education, and Abilities
How many short-term mission trips have you been on? ______________________________
What groups or organizations have you worked with?________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
Education (Schools attended and Degrees earned) _________________________________________________ __________________________________________________________________________________________
List your talents, abilities, and gifts that can be useful in the ministry: ____________________________________ __________________________________________________________________________________________
List your weaknesses and the areas in which you need to grow: ________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
Are you an ordained or licensed minister? _________________________________________________________
What ministries have you been involved in within your church? _________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
What languages do you speak? (Language and Proficiency 1-10) ______________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
Areas of Ministry Interest
In which of the following areas of ministry are you primarily interested and why?
Church Planting Medical Missions Teaching English Door-to-door Evangelism Relationship Evangelism Youth Ministry Children's Ministry Discipleship Worship
References
It is our policy to contact your references directly, introducing ourselves as a missions organization, and asking for their counsel and input regarding your application. We ask that you have your pastor complete and return directly to us the Pastor's Reference Form and that you have three other spiritual leaders who know you well submit the Personal Reference Forms to us.
Does your pastor know that you are sending us this application? ______________________
How does your pastor feel about your desire to work in missions? _____________________
Your Pastor's Telephone Number: ______________________________________________
Your Pastor's E-mail Address: __________________________________________________
Please list below three people who have a personal knowledge of you and your Christian walk. (Please give each of them a Personal Reference Form to complete and send to us. Forms may be E-mailed to info@esmi-mx.org.)
Occupation: ______________________ Number of Years Acquainted: _______________
Finances
Each Training Program student is required to pay tuition of $7200 for the year which covers housing, meals, utilities, and transportation in Baja Mexico plus a ministry contribution for outreaches. For your convenience, it can be paid $600.00 monthly in US dollars (or the equivalent in Mexican pesos) for ten (10) months. Personal expenses (toiletries, non-ministry transportation, entertainment, etc.) are not included.
Are you able to cover this amount for the period of time that you plan to work with us? ______________________
If not, how do you plan to raise the necessary funds? ________________________________________________ __________________________________________________________________________________________
Do you have any debt that you will have to raise funds to cover? _______________________________________
What is the debt for and what is the amount? ______________________________________________________
Prayer Support
Upon entering the mission field, you will be fully immersed in spiritual warfare. It is essential that you have people who are covering you in prayer. We suggest that you have a minimum of 20 prayer partners who have committed themselves to intercede and pray for you, for your ministry, and for the people to whom God sends you. Start now to form your team of prayer partners. Make a list of their names and addresses, so that you can keep them informed of your work while in Baja.
Christian Life and Calling
Describe your conversion experience and present relationship with the Lord. _____________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
How do you know that God has called you to work in Mexico this next year? _______________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
Describe in detail your prior experiences serving as a missionary and/or in your church. _____________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
What are your personal and ministry goals for your time in Mexico? _____________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
What are your long-term goals and dreams or calling? Do they involve ministry or missions? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
Personal Application
Have you ever had or do you currently have problems in any of the following areas? Mark them with a check and give a detailed description below.
Lawsuits of any nature Civil or military violations Experiences with the occult Use of illegal drugs and/or alcohol Fornication (pre-marital sex) Eating Disorder Homosexuality or pornography Financial Debt Stealing Psychological Problems/Depression Details: ____________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
Describe your reputation; how do you think others see you? ___________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
How do you respond when things don't work out as you had planned? ___________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
How do you respond to the correction by others in your areas of weakness or when you make a mistake? __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
What is your philosophy concerning the suffering of believers? ________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
How do you respond in a situation of conflict between you and another person? ___________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Please number yourself from 1-10 depending on where you see yourself in the following spectrum (1 being extreme to the left description and 10 being extreme to the right description).
Compulsion to work ___________________Slow to put out effort
Very Emotional ________________________Very Controlled
Health Information
To the best of your knowledge, have you or your dependents been or are currently being treated for (Check Y or N):
Y N — Condition of the brain or nervous system including epilepsy, fainting, frequent or severe dizziness?
Y N — Any nervous, mental or emotional disorder?
Y N — The respiratory system including tuberculosis, asthma, hay fever, pleurisy, adenoids, tonsils?
Y N — Condition of the heart or blood vessels including abnormal blood pressure, anemia?
Y N — The gastrointestinal tract, liver or pancreas including gallstones, ulcer hernia, rectal trouble?
Y N — The genitourinary organs including kidney trouble, prostatitis, albumin in the urine?
Y N — Cancer, rheumatism, bursitis, arthritis, disorder of the back, varicose veins, breast or female organs?
Y N — Endocrine system including sugar in the urine, diabetes, thyroid, adrenal disorder?
Y N — Any physical deformity or defect including Acquired Immune Deficiency Syndrome (AIDS)?
Y N — Pregnancy? If yes, estimated delivery date: __________________
Y N — Do you use or have you used tobacco, alcoholic beverages, marijuana or other drugs such as narcotics, stimulants, depressants or psychometrics?
Y N — During the past 5 years, have you or your dependents had medical consultation, been hospitalized or are you currently taking medication? If yes, list below:
Y N — Do you have any allergies? i.e. Hay Fever, Foods, Medications, Bees, etc.
Record of Consultation Please list names, injury or illness, date(s), and degree of recovery: ____________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________
City _________________________________ State:________ Zip: ______ Country:_______
Phone Number _______________________ Fax Number: ___________________________
Statement of Faith
1. The Bible, which is verbally inspired by the Holy Spirit in the canonical Scripture as originally given and is the inerrant and authoritative Word of God. (2 Timothy 3:15-17; 2 Peter 1:21) 2. The triune Godhead in three persons: Father, Son, and Holy Spirit. (Deuteronomy 6:4; Matthew 28:19; 2 Corinthians 13:14) a) The Father, who is Spirit, infinite, eternal, and unchangeable in all his attributes. (John 4:24; Exodus 34:6) b) The Son, Jesus Christ; his deity, virgin birth, sinless life, atoning death, bodily resurrection, personal exaltation at God's right hand, and personal return. (John 1:1; Isaiah 7:14; Hebrews 7:26; 1 Corinthians 15:3,4; Acts 1:11) c) The Holy Spirit, who is a divine person, equal with the Father and the Son, and of the same nature. (John 15:26) 3. The fall and lost estate of man, whose total depravity makes the new birth necessary. (Romans 5:12; John 3:5) 4. Salvation by grace through faith in the shed blood and substitution death of Jesus Christ our Lord and Savior. (Titus 3:4-7; Ephesians 2:8,9; Romans 5:8) 5. The eternal blessedness of the saved and the everlasting punishment of the lost. (Matthew 25:46; Philippians 3:21) 6. The Church, the bride of Christ: in its universal aspect comprising the whole body of those who have been born of the spirit; and in its local expression established for worship, mutual edification, and witness. (Ephesians 1:22,23; 5:25-32; Acts 15:41; 16,5) 7. Christ's Great Commission to go into all the world and preach the gospel to every creature, making disciples, baptizing, and teaching. (Matthew 28:18-20)
I have read the ESMI Statement of Faith. I am in agreement with it and live according to these tenets of faith.