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ApplicationJoseph Palmer2020-03-27T14:55:31-05:00

FBMI Application

Step 1 of 23

4%
  • General Information

  • NameBirthday 
  • Current Church Membership

  • ChurchDate
  • Education History

  • Graduated?
  • Please indicate all education beyond High School
    InstitutionGraduated? 
  • Employment History

  • Present or most recent employer first
    Name of EmployerDates EmployedType of EmploymentSupervisor's Full NamePhone Number 
  • Christian History

  • Include a description of your devotional life
  • i.e. bus ministry, nursing home ministry, Sunday School classes, etc. Please include length of time involved
    MinistryLength of time 
  • Personal Call to Missions

  • Personal Convictions

  • Personal References

    Please give names and contact information of four references in the following order:
  • Your sending church Pastor:

  • Another pastor whom you know:

  • A ministry leader with whom you've served:

  • A faculty member from Bible College:

  • Personal Information

  • Date Format: MM slash DD slash YYYY
  • Financial Information

    Having an accurate account of your general financial standing is an important step in applying with FBMI. Please answer the following questions as accurately as possible.
  • Credit card, mortgage, etc.
  • Health Information

    This next section is a health history questionnaire which must be completed carefully in detail, answering all questions for both you and your spouse. The questionnaire is reviewed by our Medical Advisor before acceptance by FBMI. Records are kept in the strictest confidence and will not be released to unauthorized persons.
  • Your Health Section

  • General Information

  • Indicate if urban, rural, farm, etc. as well as dates lived there
    WhereUrban, Rural, etcDates 
  • UnitDatesWhere 
  • Occupational Information

  • Have you been unable to hold a job because of:

  • Insurance and Institutional Information

  • If so, please indicate which
  • Health Information

  • Physical Characteristics

  • Maximum WeightWhen
  • Habits

  • Family History

  • RelationLivingAgeDisease/Cause of death 
  • Is he living?
  • Is she living?
  • Has any blood relation (parent, brother, sister, etc.) or spouse had:

  • Past Medical History

  • Indicate whether you've ever had any of the following
  • Indicate whether you've had any of the following
  • Indicate whether you've ever had any of the following
  • Indicate whether you've ever had any of the following
  • Indicate whether you've ever had any of the following
  • Indicate whether you've ever had any of the following
  • Indicate whether you've ever had any of the following
  • Indicate whether you've ever had any of the following
  • Indicate whether you've ever had any of the following
  • Rate yourself on a scale of 1-5 in regard to the following characteristics, 5 being the highest

  • Surgery

  • OperationDoctor and addressWhy advisedDate 
  • HospitalDoctor and addressWhy advisedDate 
  • Accident/injuryDate 
  • Miscellaneous

  • Have you ever had:

  • ReasonPractitionerDate 
  • ReasonPractitionerDate 
  • ReasonPractitionerDate 
  • ReasonPractitionerDate 
  • ReasonPractitionerDate 
  • ReasonPractitionerDate 
  • Spouse's Health Information

  • General Information

  • Autobiographical Sketch

  • Stressful situations are met on any mission field with respect to coworkers and the indigenous peoples. Emotional maturity and social compatibility are required. For this reason, a resume of your background and relationship to family and friends is requested in this evaluation. Please write an autobiography in essay style, using appropriate paragraphs, treating in detail the subjects indicated. The outline which follows is only a guide and is not to be copied or answered in question and answer fashion. Use as many sheets as required, with your name and page number on each. A. FAMILY BACKGROUND 1. Your birthplace, home, and parents: Were your parents compatible, happy, or the converse? List the children born to your parents in order of birth. Were you raised in a Christian home? 2. Mention others who lived in the same household for any time during your growing-up period, i.e. relatives, boarders, hired hand, housekeeper, servants, etc. Mention, if appropriate, foster parent, step-parent, divorce, etc. FATHER 1. His occupation and work habits during your childhood 2. His personality and habits in relationships with people 3. Your personal relationship with him and any significant changes in it as you matured MOTHER 1. Her occupation, if she worked for long periods during your childhood 2. Her work at home, amounts of responsibility she took for the work and management of the household 3. Her personality and habits in relationships with people 4. Your personal relationship with her and any significant changes in it as you matured BROTHERS AND SISTERS 1. Describe your relation with each. Indicate if you were an “auxiliary parent” to a younger child or, conversely, if you were in the place of a younger child supervised by an older one. 2. Were there feelings of unusual intensity, positive or negative, with any brother or sister? 3. What was the general atmosphere? Were there jealousies,tensions? Was it a close-knit family or rather on the remote,self-sufficient side? What did you do together (church, games, sports, travel)? 4. Describe present occupation and current age of each brother or sister, marital status, religious affiliation, and present family group. B. SCHOOL 1. Where did you attend grade school, high school? describe briefly two or three events from elementary school. 2. Did you have trouble with teachers? Why? or Why not? 3. High school: favorite subjects; extracurricular activities: school paper, clubs, sports, etc. Did you ever quit school? If so, why? 4. College: relationships with roommates, if any. Did you change majors? Why? In what ways did you mature? C. SOCIAL 1. Clubs, Scouts, 4-H (outside of school), hobbies, church 2. Dating: Review briefly. Attitude toward marriage, children. (See also on E.) D. PERSONAL 1. Are you aware of any extreme likes or dislikes or special fears which have disturbed you in the past? 2. What do you consider your strong points? Weak points? 3. Any lack of emotional control? How do you explain it? 4. Are you unusually sensitive? Have you lost your temper at someone in the last few months? 5. Is sustained concentration difficult? List the books that you have read in their entirety in the last six months. 6. Was there a time of rebellion in your teen or later years? 7. Are you subject to faintness or dizziness? Great fatigue? Prolonged depression? 8. Have you ever had a “nervous breakdown”? Describe. 9. Have you ever sought consultation with a neurologist, psychiatrist, or a psychologist? 10. Describe an instance of relying on spiritual help in time of discouragement. 11. Have you ever tried to offer counsel to someone else in trouble?Describe a case. 12. How often do you have personal, private devotions (time spent, materials used)? Family prayers? 13. Is your spiritual, social, intellectual, and emotional growth basically satisfactory to you? Why or why not? E. MARRIAGE Date of marriage, courtship. Were both Christians at time of marriage? Additional remarks. F. GROUP RELATIONSHIPS 1. Give the name and address of one employer for whom you worked for at least six months who has a personal acquaintance with you and has observed your relationships with your co-workers. 2. Give name and address of one group leader who has observed you for a period of six months in your relationship with the group (Explorers, AWANA, scouts, etc.) working on definite projects together, preferably a group in which you were active beyond the age of sixteen.

ABOUT

Fundamental Baptist Missions International is a local-church missions agency that trains, supports, finances, and develops missionaries and ministries which preach the Gospel of Jesus Christ, disciple believers, and multiply churches. It is our vision to see Gospel-preaching churches actively multiplying in every nation.

We ask all missionaries we serve to annually confirm if they are in agreement with our statement of faith.

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contact@fbmi.org

507 State Street
Hammond, IN 46320

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