1. Personal Information

*Name:

*Address 1:

Address 2:

*City:

*State:

*Zip/Postal Code:

2. How may we contact you?

*E-mail:

Fax:

Telephone Number:

3. Your work status

If not a US citizen, what visa classification do you have?

Are you legally eligible to work in the United States?

Yes
No

4. Education

What formal education have you received beyond high school? State names of colleges, Bible schools, etc., degrees earned, and dates attended.

If now in college, give name of college and date you will graduate.

5. Home Church

Give name and address of church where you have membership.

Pastor’s name:

Church Telephone Number:

6. Other Information

Write briefly regarding your conversion.

What Christian work have you done within the church?
Other? ( i.e., teaching Bible clubs, camp counseling, etc.)

Why are you interested in BCM International?

After reading carefully the descriptive brochure of the ministries of BCM International, tell us what types of ministry and geographical areas in BCM are of interest to you.

Please list your last three jobs and the dates of employment [Type of Employment Dates from – to (Month/Year)].

Do you desire formal application papers?

Yes
No

If Yes, Applying as:
Summer
Short-Term (up to 2 yrs)
Career
BCM Associate Missionary

Please use the following space for any questions or comments you would like to
address to us.