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General Information
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1. Name:
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2. Date of Birth:
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3. Address:
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4. Phone #:
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5. Email Address:
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6. Sex:
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Male
Female
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7. Citizenship:
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8. Marital Status:
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9. Children:
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Yes
No
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If 'Yes', please give names, ages, etc:
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10. What dates do you plan to serve with CMO?
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Arrival:
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Departure:
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Church Affiliation
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11. Are you currently an active member of a local church?
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12. Pastor's name:
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13. Name of church:
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14. Website:
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15. Denomination:
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16. Address:
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17. Phone #:
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18. Email:
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19. How long have you been a member of this church?
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20. What areas of ministry are you involved with at this church?
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Skills/Experience
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21. What skills do you have that would benefit Cambodian Mission Outreach? (eg: carpentry, construction, music, preaching, basic english teaching, etc)
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22. List any educational degrees, or certificates, you currently hold:
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23. List any past missions experience:
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24. What theological training have you received?
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Personal Information
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25. How do plan to support yourself financially while you are with us?
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26. Please give a brief description of your personal reasons for wanting to serve with CMO?
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27. What growth do you expect to see in your life, as a result of serving Jesus in Cambodia with CMO?
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28. Do you have any current medical restrictions that would affect your ability to minister in Cambodia? If so, explain.
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29. Do you think you are able, physically, emotionally, and spiritually, to cope with conditions in a Third World country? (eg: many missionaries have succumbed to the temptation of lust while serving here; the extreme heat and humidity is a challenge to those not used to such conditions; Cambodia is a Buddhist nation; etc)
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30. Briefly relate your conversion experience (testimony):
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Thank You!
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