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Bethany International Missionary Application
Step
1
of
12
- Basic Info
8%
Hidden
ID
Name
(Required)
First
Middle
Last
Email
(Required)
Permanent Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
(Required)
Marital Status
(Required)
Select One
Single
Married
Separated
Divorced
Widowed
Engaged
Name of spouse or fiancé
(Required)
First
Last
Marriage Date/Expected Marriage Date
(Required)
MM slash DD slash YYYY
Have you ever been divorced?
(Required)
Select One
No
Yes
Please give a brief description surrounding the circumstances of your divorce.
(Required)
Do you have any children?
(Required)
Select One
Yes
No
Are your children and/or dependents in good health?
(Required)
Select One
N/A
Yes
No
Please Provide Addition Information
(Required)
Are you currently expecting a child?
(Required)
Select One
No
Yes
Approximate date of birth
(Required)
MM slash DD slash YYYY
Height
(Required)
Feet
Inches
Weight (lbs)
(Required)
Please check every item you have ever had as a health issue
ADHD
Allergies (All Types: Food/Environmental/Medical/Etc.)
Anemia
Arthritis
Asthma
Back Problems
Bladder/UTI Issues
Cancer
Chronic Cough
Chronic Depression
Diabetes
Digestive Issues (IBS/Crohn’s/Etc.)
Dizziness or fainting
Ear Nose or Throat Issues
Eye problems
Hepatitis
Hernia
High or Low blood pressure
HIV/Aids
Headaches/Migraines
Heart Issues/Palpitations/Pain or Pressure in the Chest
Kidney Disease/Injury
Learning Disabilities/Dyslexia
Malaria
Paralysis
Panic/Anxiety Attacks
Recent Significant Weight Loss/Gain
Recurrent diarrhea/constipation
Rheumatic Fever or Heart Murmur
Seizures/Epilepsy
Severe Menstrual Cramps
Sexually Transmitted Disease
Sleeping Disorders
Stomach Problems/Ulcers
Surgery (Appendectomy/Hernia Repair/Tonsillectomy/etc.)
Tuberculosis
Tumor or Cyst(s)
Other Medical Condition
Please provide details for each item selected above. Include the name of the item selected, the frequency/dates of occurrence, type(s) of treatment, dates of treatment, and any long term effects/restriction
Example: Migraines, weekly from 2011-present, headache medication, 2012-present, no long term effects.
Have You Ever Used Tobacco, Vape/eCig Or Marijuana?
(Required)
Select One
Yes
No
Please describe your use (amount and frequency), if and when you quit, and how you quit
(Required)
Do You Have Any Other Chronic Illness Or Disease Not Included On This Form?
(Required)
Select One
Yes
No
Please Elaborate
(Required)
Please Elaborate On Any Additional Injuries Or Hospitalizations That Have Not Been Listed Above. Include Description, Dates, Type(s) of Treatment, Dates of Treatment, and any Long-Term Effects/Restrictions
Do You Routinely Take Any Medication (Prescription or Non-Prescription)?
(Required)
Select One
No
Yes
Please list any medications. Include the type of medication, dosage, reason for taking, and if a doctor oversees the use of the medication
(Required)
Example: Excedrin, 1 tablet as needed, treatment for migraines, I have a prescription but doctor does not really oversee it much.
Do You Feel Any Of The Health Conditions You Have Listed Could Limit Your Abilities Or Negatively Affect You While Living Overseas? If So, How Would You Manage These Challenges?
Are you in debt?
(Required)
Select One
No
Yes
Please list your debts. Include what the debt is for and the amount.
(Required)
Example: Car loan $4000, Student loans, $2000
Total monthly payments on your debt
(Required)
Estimate when you expect to be debt free
(Required)
MM slash DD slash YYYY
Name of your Home Church
(Required)
Denomination (full name)
(Required)
How long have you attended?
(Required)
Minister's/Pastor's name
(Required)
Is your pastor aware of your interest in missions?
(Required)
Home Church's Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Home Church's Phone Number
(Required)
Home Church's Email
(Required)
Home Church's Website
Are You Actively Involved With Another Church?
(Required)
Select One
Yes
No
Name of the other church
(Required)
Other Church's Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Other Church's Phone
(Required)
Other Church's Email
(Required)
Other Church's Website
Name of denomination in which you were raised
(Required)
List all education and training you have had such as high school, post high school, technical or apprenticeships, or Bible/discipleship training. Include major, degree, diploma or certificate received.
(Required)
Example: GED, Central High School, 2007/ CPR Certificate, Minneapolis Heart Center, 2011
How have you equipped yourself for spiritual ministry? If you have identified your spiritual gifts, what do you believe they are?
(Required)
Do you know any languages other than English?
(Required)
Select One
No
Yes
Please list languages and proficiency
(Required)
Example: German - basic, French - fluent
List any skills, interests, or hobbies you have (i.e. Writing, Sports, Auto repair, Photography/Video, Computer Skills, etc.)
(Required)
Occupation or Profession
(Required)
Give details and dates of employment for the last 5 years. Include employer name, dates of employment, job description, and why you left.
If employed now, may we send a reference form to your present employer?
(Required)
Select One
N/A
Yes
No
Employer Email
(Required)
Employer Phone
(Required)
Have you ever applied to another mission agency?
(Required)
Select One
No
Yes
Name of agency
(Required)
When did you apply?
(Required)
MM slash DD slash YYYY
What is your view of "divine healing"? Are you comfortable laying hands on the sick and praying for healing?
(Required)
What has been your experience with the Holy Spirit? Do you feel empowered to live a holy life?
(Required)
Have you experienced freedom from the bondage of sin? Please explain.
(Required)
Describe three of your strengths
(Required)
Describe three of your weaknesses
(Required)
When confronted or corrected by a leader, how do you respond?
(Required)
What is your ideal working environment?
(Required)
Example: Do you prefer to work alone, on a team, in a leadership role on a team or a combination of these?
How well do you manage your time? Are you often stressed by deadlines or do you plan ahead and keep on top of what is expected of you?
(Required)
Please provide the following references as indicated below.
Pastor/Church Leader Name
(Required)
First
Last
Pastor/Church Leader Email
(Required)
Personal Reference (Non-Family Member) Name
(Required)
First
Last
Personal Reference (Non-Family Member) Email
(Required)
Employer (PT Supervisor For BGU Students) Name
(Required)
First
Last
Employer (PT Supervisor For BGU Students) Email
(Required)
Are you a graduate of Bethany Global University?
(Required)
Select One
Yes
No
Internship Site Leader's Name (Provide a student life reference if you did not go on internship)
(Required)
First
Last
Internship Site Leader's Email (Provide a student life reference if you did not go on internship)
(Required)
Statement of Faith
We have been enlightened, enriched, and edified by many streams of Christian truth, and do not seek to distinguish or divide ourselves from other members of the Body of Christ. This statement, however, describes the fundamental truths in which we believe and by which we seek to live.
We Believe
the Bible to be the only inspired, infallible, and authoritative Word of God, without error in the original manuscripts.
We Believe
that there is one God, eternally existent in three persons: Father, Son, and Holy Spirit.
We Believe
in the deity and the full humanity of our Lord Jesus Christ- two distinct natures in one person. We believe in Jesus' virgin birth, His sinless life, His miracles, His vicarious and atoning death, His bodily resurrection, and His ascension to the right hand of the Father, and His personal return in power and glory.
We Believe
that man was created in the image of God, that he was tempted by Satan and fell, and that all following Adam have sinned and are sinful; that repentance toward God, faith in Jesus Christ, and regeneration by the Holy Spirit are necessary for salvation.
We Believe
that followers of Jesus Christ are called to sanctification through identification with Jesus Christ in His death and resurrection.
We Believe
in the present ministry of the Holy Spirit by whose indwelling, empowering, and gifts the Christian is enabled to live a life of godliness and effective service.
We Believe
in the bodily resurrection of both the saved and the lost; the saved to the resurrection of life and the lost to the resurrection of damnation.
We Believe
that all followers of Jesus are to be committed to the fulfilling of the Great Commission as found in Mt. 28:18-20 and are to be involved in making it possible for the Gospel to be preached to all the peoples of the world.
I have read the Statement of Faith and believe it without mental reservation. I have trusted in the Lord Jesus Christ as my personal Savior and believe I have been made a new creation in Him.
(Required)
Select One
Yes
No
We know that these questions are very personal and sensitive. However, the significance of evaluating them and their impact on you emotionally, physically, and spiritually cannot be overestimated.
We take your honesty in answering these questions as a gift of trust, and this page of your application will be treated with strict confidentiality. Bethany staff involved in the application and pre-field preparation process will have access to this information. Your personal interview with staff may include discussion from this personal history.
For those questions to which your answer is “yes” but from which you have since found victory, please include your testimony of what catalyst/instrument the Lord used to bring you to a place of wholeness in Him in this area.
On any “yes” answers, please write out brief explanations, if you feel that you cannot write additional details, please write in “Discuss this with me.”
Briefly describe how you and your spouse met, became engaged, and were married. Describe your present marital relationship. Include emotional, spiritual, and physical aspects as appropriate. (If there are aspects that you would prefer not to put into writing, please indicate by noting: "Discuss with me.")
(Required)
Please comment on any physical, emotional, and/or educational issues that might impact your family living overseas. Explain any concerns you may have on their behalf.
(Required)
Have you ever abused the use of drugs or alcohol?
(Required)
Select One
Yes
No
Please Explain the circumstances, frequency, duration, and date of last occurrence.
Have you ever been involved in any occult/psychic activities (These might include New Age religions, witchcraft, ouija boards, secret societies, séances, spirit guides, tarot cards, dark fantasy games/media/literature, fortune telling, astrology, etc.)?
(Required)
Select One
Yes
No
Please Explain the circumstances, frequency, duration, and date of last occurrence.
Have you ever used/ viewed or been involved with pornographic material (including internet, movies, books, magazines, etc.)? Have you ever engaged in masturbation?
(Required)
Select One
Yes
No
Please Explain the circumstances, frequency, duration, and date of last occurrence.
Have you ever had a homosexual experience or struggled with same sex attraction?
(Required)
Select One
Yes
No
Please Explain the circumstances, frequency, duration, and date of last occurrence.
Have you ever had pre/extra-marital sexual experience(s)?
(Required)
Select One
Yes
No
Please Explain the circumstances, frequency, duration, and date of last occurrence.
Have you ever been abused verbally, emotionally, physically or sexually (molested or raped)? Read disclaimer above BEFORE answering.
(Required)
Select One
Yes
No
Please Explain the circumstances, frequency, duration, and date of last occurrence.
Have you ever had or are you currently struggling with self-injury (cutting, burning, clawing, pulling, etc.) or with an eating disorder? (i.e. anorexia, bulimia, purging, excessive over eating)
(Required)
Select One
Yes
No
Please Explain the circumstances, frequency, duration, and date of last occurrence.
Have you ever had or are you currently struggling with depression, anxiety, moodiness or outbursts of anger?
(Required)
Select One
Yes
No
Please Explain the circumstances, frequency, duration, and date of last occurrence.
Have you ever experienced suicidal thoughts or attempts?
(Required)
Select One
Yes
No
Please Explain the circumstances, frequency, duration, and date of last occurrence.
Have you ever been diagnosed with and/or treated for a mental health or emotional disorder?
(Required)
Select One
Yes
No
Please Explain the circumstances, frequency, duration, and date of last occurrence.
I, the applicant, declare all information given on this form to be true and accurate to date.
Name
(Required)
Date
(Required)
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