Preliminary Questionnaire

* Indicates Required Fields

Name*

Address

Address line 2 Fill if needed in U.S. or for non-North American address

City

State/Province

Zip/Postal Code

Country*

Phone Number (day): - -

Email Address*

Citizenship*

How did you first hear about SEND International:*

Help us get to know you and where we can find you

What are you in life?*

Marital Status*

Spouse's name: Your spouse should also submit this form

Have you ever been divorced or seperated?* Yes No

Interests* Check all that apply Long Term (2 years+) Short Term (up to 1 year) Internship Summer

Geograhic area of interest* North America Asia Europe Eurasia

Brief specific interests:

Brief ministry interests:

School (Undergrad) Year of Grad: Major:

School (Graduate) Year of Grad: Major:

Have you had any formal Bible tranining?* Yes No Describe:

Significant Ministry Experience:

Significant Work Experience:

Church name*

Address of church you attend regularly:

Pastor:

Church Phone # - -

How would you describe your church background:* Check all that apply Fundamental Evangelical Charismatic Pentecostal Other:

Briefly describe your salvation story:*

Questions or comments:

What can we do for you? Hold Ctrl down to pick more than one

Please send the forms: Check all that apply Long Term (2 years+) Short Term (up to 1 year) Summer

Where are you in the process of searching for a ministry opportunity:*

USA

PO Box 513 Farmington, MI 48332

(248) 477-4210

Fax: (248) 477-4232

(800) SEND-808
Canada

1-22423 Jefferies Road RR 5 Komoka, ON N0L 1R0

(888) 918-5036
Europe

Regina Waschko SEND Europe Personalreferentin Neuhaldenstr. 22/1 - 70825 Korntal Germany

0049-711-88771829
East Asia

East Asia SEND International Limited, Room 1404, 14/F., Winning Centre, 29 Tai Yau Street, San Po Kong, Kowloon - Hong Kong, S.A.R;

2715-3363
Japan

2-1-21 Nishiki-Cho Tachikawa-Shi Tokyo-To 190-0022 Japan Nihon SEND c/o Tachikawa Eki-Mae Christ Church Japan

Phone: 042-525-2615

Fax: 042-521-1375
Philippines

#46-A Scout Borromeo St. P.O. Box 1009 QCCPO South Triangle Quezon City 1154 Philippines

Fax: 632-924-1418

63 917 363 7156
Taiwan

P.O. Box 63-44 Taichung 40699 Taiwan

Phone: +886-4-2422-0725

Fax: +886-4-2422-2464