ࡱ>  kbjbj?? $ ]]< SSSSSgggg8|g@ $$$$%, 0>>>>>>>DGR>S1%%11>45SS$$@4545451S$S$>451>4545r=TSS>io=g1F=>@0@>G45G>45S>111 :    INSTRUCTIONS Fill out this application, complete with your signature, attesting that you have read and agree to the Participation Regulations, Financial Accountability Statement, Self Disclosure of Criminal Background, and Consent to Background Check. Return your application and enclose the following: Two (2) recent photographs of yourself. Snapshots are acceptable. The $35 registration fee in the form of a check or money order made payable to Christian Missionary Fellowship. This is neither transferable nor refundable. Deadline for the application process is December 11, 2009. After processing your application, CMF International will let you know if you have been accepted and which field opportunity is available to you. PARTICIPATION REGULATIONS Please retain a copy of this page so that you will have a copy of the Participation Regulations. n The purpose of CMF International's REACH teams is for the ministry of the Gospel of Jesus Christ and His Church. Sightseeing and shopping will be permitted only if it coincides with the team's main purpose. n Any REACH member found with illegal drugs in his/her possession, consuming alcoholic beverages, stealing, displaying open rebellion, or involved in fornication or adultery will be sent home at REACH team member's expense, without any clemency granted, so as not to destroy the testimony of the REACH team or missionaries where CMF International works. n In the event of political unrest, natural disaster, or unexpected needs with the hosting missionary team, CMF International will decide the best placement option for the intern team, which may or may not be in the same area of the world. n REACH team members and leaders must adhere strictly to CMF International's policies and are subject to dismissal for disobedience, without refund or reimbursement. REACH team members, leaders, and staff serve at their own risk. CMF is not liable in the event of sickness, accident, death, terrorist acts, or for transportation or any other expense beyond that of the REACH team involvement. n CMF International has a  No Dating Policy for its interns and we require strict adherence to this policy whether in the USA or in a foreign country. Because of the many cultural definitions, we will outline our expectations: interns will not develop a relationship with romantic intentions with other interns, nationals, or missionary family members; will not engage in romantic physical contact (i.e. kissing, etc.); will not develop an inappropriate relationship as defined by the nationals and/or sponsoring missionary; and when spending time with the opposite sex the intern will strive to be in the context of a group gathering. n All REACH team members and leaders are responsible for their own transportation to and from the designated REACH training site. I have read and agree to the above participation regulations. Yes  FORMCHECKBOX  No  FORMCHECKBOX  GENERAL INFORMATION Legal Name (Your legal name is required for passports, visas, airline tickets, etc., all checked during international travel.):  FORMTEXT       Name (you prefer to be called/nickname):  FORMTEXT       Date of Birth:  FORMTEXT       Sex:  FORMCHECKBOX  Male  FORMCHECKBOX  Female Citizenship:  FORMCHECKBOX  US  FORMCHECKBOX  Canada  FORMCHECKBOX  Other  Country:  FORMTEXT       Home Address, City, State, ZIP:  FORMTEXT       School Address, City, State, ZIP:  FORMTEXT       If you have a P.O. Box, please include street address for UPS delivery:  FORMTEXT       Home Phone:  FORMTEXT       Cell Phone:  FORMTEXT       School Phone:  FORMTEXT       E-mail address:  FORMTEXT       Social Security #:  FORMTEXT       T-shirt size:  FORMCHECKBOX  Small  FORMCHECKBOX  Medium  FORMCHECKBOX  Large  FORMCHECKBOX  XL  FORMCHECKBOX  XXL How did you hear about REACH?:  FORMTEXT       EXPERIENCE Post high school education: 1. Institution:  FORMTEXT       Major:  FORMTEXT       Dates attended:  FORMTEXT       Anticipated Date of Graduation:  FORMTEXT       Degree:  FORMTEXT       GPA:  FORMTEXT       2. Institution:  FORMTEXT       Major:  FORMTEXT       Dates attended:  FORMTEXT       Anticipated Date of Graduation:  FORMTEXT       Degree:  FORMTEXT       GPA:  FORMTEXT       Work Experience (most recent first): 1. Employer:  FORMTEXT       Position:  FORMTEXT       Dates worked:  FORMTEXT       2. Employer:  FORMTEXT       Position:  FORMTEXT       Dates worked:  FORMTEXT       Countries visited for one week or more: Country:  FORMTEXT       Length of visit:  FORMTEXT       Date of visit:  FORMTEXT       Purpose of visit:  FORMTEXT       Country:  FORMTEXT       Length of visit:  FORMTEXT       Date of visit:  FORMTEXT       Purpose of visit:  FORMTEXT       Foreign languages spoken: 1.  FORMTEXT        FORMCHECKBOX  Beginner  FORMCHECKBOX  Conversant  FORMCHECKBOX  Fluent 2.  FORMTEXT        FORMCHECKBOX  Beginner  FORMCHECKBOX  Conversant  FORMCHECKBOX  Fluent PERSONAL Marital Status:  FORMCHECKBOX  Single  FORMCHECKBOX  Married  FORMCHECKBOX  Engaged  FORMCHECKBOX  Divorced Spouse s Name (if applicable):  FORMTEXT       Child(ren):  FORMCHECKBOX  Yes  FORMCHECKBOX  No Are any children dependent on you for support?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Father's Name:  FORMTEXT       Address, City, State, ZIP:  FORMTEXT       Country:  FORMTEXT       Phone:  FORMTEXT       Mother s Name:  FORMTEXT       Address, City, State, ZIP:  FORMTEXT       Country:  FORMTEXT       Phone:  FORMTEXT       Church You Attend:  FORMTEXT       Minister s Name:  FORMTEXT       Church Address, City, State, ZIP:  FORMTEXT       Phone:  FORMTEXT       Home Church:  FORMTEXT       Minister s Name:  FORMTEXT       Church Address, City, State, ZIP:  FORMTEXT       Phone:  FORMTEXT       Date and Location of Baptism (immersion):  FORMTEXT       Is there any reason you cannot engage in rigorous activity?:  FORMTEXT       List any medical conditions you have had or currently have? Any medications you currently take?:  FORMTEXT       Have you ever received professional counseling for emotional or mental illness?:  FORMCHECKBOX  No  FORMCHECKBOX  Yes If yes, please explain:  FORMTEXT       REFERENCES Names and addresses of four references (one must be a leader in your church). Please include e-mail addresses whenever possible. We may contact other secondary references by phone. Please let your references know they will be requested to complete a Confidential Reference Form from CMF International. Immediate family members may not be used as references. Name:  FORMTEXT       Relationship:  FORMTEXT       Address:  FORMTEXT       City, State, ZIP:  FORMTEXT       Phone:  FORMTEXT       E-mail:  FORMTEXT       Name:  FORMTEXT       Relationship:  FORMTEXT       Address:  FORMTEXT       City, State, ZIP:  FORMTEXT       Phone:  FORMTEXT       E-mail:  FORMTEXT       Name:  FORMTEXT       Relationship:  FORMTEXT       Address:  FORMTEXT       City, State, ZIP:  FORMTEXT       Phone:  FORMTEXT       E-mail:  FORMTEXT       Name:  FORMTEXT       Relationship:  FORMTEXT       Address:  FORMTEXT       City, State, ZIP:  FORMTEXT       Phone:  FORMTEXT       E-mail:  FORMTEXT       ESSAY QUESTIONNAIRE 1. How long have you been a Christian? Please write a half-page testimony. Include how you became a Christian, when you were baptized, the major influences on your spiritual growth, and how you have grown spiritually in the past year.  FORMTEXT       2. Have you ever been involved with drugs or alcohol? If so, please give a brief history and note the last incident of usage.  FORMTEXT       3. Why do you want to participate in an internship with Christian Missionary Fellowship? (1 paragraph)  FORMTEXT       4. What country would you like to serve in? Why?  FORMTEXT       5. What do you believe are your personal strengths in interpersonal relationships? Weaknesses? (1 paragraph each)  FORMTEXT       6. What experiences, training, or responsibilities have you had which would further qualify you for cross-cultural ministry? (i.e., counseling, evangelism, discipleship, leadership, teaching) (1-2 paragraphs)  FORMTEXT       7. After further preparation, are you open to mission service in the future?  FORMTEXT       MINISTRY INVOLVEMENT In what areas of ministry are you interested?  FORMTEXT       Describe ways in which you have been involved in ministry, identifying those in which you are currently involved:  FORMTEXT       In what areas of ministry would you like to be involved on the field (during your internship)? Describe the experience you have in these ministries:  FORMTEXT       Have you had training in personal evangelism and/or discipleship?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Give details:  FORMTEXT       Do you share the Gospel?  FORMCHECKBOX  Frequently  FORMCHECKBOX  Regularly  FORMCHECKBOX  Seldom  FORMCHECKBOX  Never Have When was the last time someone received Christ due to your witness?:  FORMTEXT       Have you discussed your mission apprenticeship interest with your parents?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Please indicate your parents response:  FORMCHECKBOX  Enthusiastic  FORMCHECKBOX  Favorable  FORMCHECKBOX  Lukewarm  FORMCHECKBOX  Unsure  FORMCHECKBOX  Opposed Have you discussed your mission apprenticeship interest with your church leaders?  FORMCHECKBOX  Yes  FORMCHECKBOX  No Please indicate your church leaders response:  FORMCHECKBOX  Enthusiastic  FORMCHECKBOX  Favorable  FORMCHECKBOX  Lukewarm  FORMCHECKBOX  Unsure  FORMCHECKBOX  Opposed FINANCIAL ACCOUNTABILITY STATEMENT Webster defines accountability as capable of being accounted for; explainable; responsible. CMF plans and prays in order to be an effective steward of all resources, as we seek to bring more of the worlds people to a saving knowledge of Jesus Christ. Our strategy includes: Researching Recruiting Guiding Serving Providing Accountability Therefore, accountability of time and money is a high priority, A team gives us an added sense of security and responsibility to make the best use of the time and money that God has entrusted to us through the churches. Our objective is maximum effectiveness in reaching the lost. Each member is responsible for the other and accountable to one another and to the CMF Board of Directors. CMF is firmly committed to good stewardship of funds entrusted to us by our donors. We promise to use the gifts wisely and effectively in Christs Name. To insure our financial accountability to our donors, we are a member of the Evangelical Council for Financial Accountability (ECFA). We fully support the purposes and goals of ECFA and display its seal proudly to reflect compliance with its membership standards. For more information on the ECFA, please request a brochure from CMF. What if there are excess funds in my account after the apprenticeship is completed? We are limited by the IRS in how we can use those funds. When donors originally give their gifts, they receive a receipt acknowledging the tax deductibility of that gift. By issuing that receipt, we are endorsing to the donor and to the IRS that the gift will be used for CMF-related ministries. Therefore, should you anticipate affiliating with CMF for longer term service, excess funds can remain in your account for up to five years. If you do not anticipate affiliating with CMF, the funds will be used toward furthering the ministries of CMF. Personal spending money: These funds are personal and are not included in your budget. If you have supporters who would like to contribute to your personal spending money, they should give the money directly to you and not to CMF. These funds are not tax deductible. (Reminder: the IRS will consider these funds taxable income.) I have read agree to abide by this financial accountability statement: Yes  FORMCHECKBOX  No  FORMCHECKBOX  CRIMINAL BACKGROUND CHECK Self-Disclosure Questionnaire I,  FORMTEXT       (Candidate s Name), understand that CMF conducts background checks on all new applicants. As such, I certify that the following is a complete list of all convictions, guilty pleas, pleas of no contest (or nolo contendere) to any felony, misdemeanor or any offense other than a minor traffic violation. I certify that this list includes all charges now pending against me as well as any circumstances that resulted in my participation in a first-offender, deferred adjudication, diversionary, or other program or arrangement where judgment or conviction has been withheld. I understand that if I fail to disclose any information within the scope of this request, CMF shall have the right, at its discretion, to withdraw or rescind its offer of employment or affiliation; or immediately terminate my employment or affiliation.  FORMCHECKBOX  I have nothing to disclose.  FORMCHECKBOX  I have incidents to disclose. Disclose incidents below. If you have more than three incidents to disclose, add them to this page: Incident:  FORMTEXT       Date:  FORMTEXT       Incident:  FORMTEXT       Date:  FORMTEXT       Incident:  FORMTEXT       Date:  FORMTEXT       Consent to Background Check I,  FORMTEXT       (Candidate s Name) understand that CMF conducts background checks on all new applicants. I hereby consent and authorize CMF to conduct a background check on me, which will include a criminal history check and a sex and violent offender registry check. Below, I have provided my full name, date of birth, and social security number for this purpose. I understand and agree that if I choose not to provide this information, or otherwise refuse to consent and authorize this background check, any offer of employment or affiliation will be withdrawn. I also understand and agree that CMF reserves the right to withdraw and conditional offer if, in the judgment of CMF, information developed in the course of the background check so warrants. PRINT AND SIGN THIS PAGE AND SEND IT TO CMF BY ONE OF THE FOLLOWING METHODS: FAX: 317-578-2827 SCAN AND EMAIL THIS PAGE: MOBILIZATION@CMFI.ORG MAIL: CMF INTERNATIONAL, PO BOX 501020, INDIANAPOLIS, IN 46250 I attest that I have not altered the original text of this application. I have read and agree to the terms outlined in the following areas of this application: Participation Regulations Financial Accountability Statement Self Disclosure of Criminal Background Consent to Background Check Signature ______________________________________________ Date __________________ Signature of Witness _____________________________________ Date __________________ Remember to:  FORMCHECKBOX  Enclose a check or money order for $35 made payable to Christian Missionary Fellowship  FORMCHECKBOX  Enclose two (2) recent photos CMF International REACH International Internship Application _____________________________________________________________ CMF International, Moblization Division, PO Box 501020, Indianapolis, IN 46250-6020 Phone: 317-578-2700 Fax: 317-578-2827 E-mail: Mobilization@CMFi.org   R  «zh]O8$&hn6B*CJOJQJ^JaJph,h.hn6B*CJOJQJ^JaJphhp hn5CJOJQJhn5CJOJQJ#hnB*CJOJQJ^JaJph2hh23hn56B*CJOJQJ\^JaJph,hh23hn6B*CJOJQJ^JaJph,hh23hn6B*CJOJQJ^JaJph,hmhn5B*CJOJQJ^JaJph&hn5B*CJOJQJ^JaJph#hf=B*CJOJQJ^JaJph 1 v   R S zp dhgdngdn h8p*$1$7$8$9DH$^`pgdn" h8pd *$1$7$8$9DH$^`pgdn h8d *$1$7$8$9DH$gdn*$1$7$8$9DH$gdndh*$1$7$8$9DH$gdn b c  .0kTB#hnB*CJOJQJ^JaJph,h.hn6B*CJOJQJ^JaJph&hn6B*CJOJQJ^JaJph#hnB*CJOJQJ^JaJph2jhmhnB*CJOJQJU^JaJph)hmhnB*CJOJQJ^JaJph)hmhnB*CJOJQJ^JaJph&hn6B*CJOJQJ^JaJph,h.hn6B*CJOJQJ^JaJph c d 56z{ $ a$gdn*$1$7$8$9DH$gdn(*$1$7$8$9DH$^`(gdn" h8(d *$1$7$8$9DH$^`(gdn hvp*$1$7$8$9DH$gdn  " ׺ם׆q\E\+2jhn6B*CJOJQJU]^J aJph,h=6hnB*CJOJQJ]^J aJph)hn6B*CJOJQJ]^J aJph)h.hnB*CJOJQJ^JaJph,hp hn5B*CJOJQJ^JaJph8jthP"hnB*CJOJQJU^JaJph8jhP"hnB*CJOJQJU^JaJph#hnB*CJOJQJ^JaJph,jhnB*CJOJQJU^JaJph 6fV.*lP h!!!! hvdh*$1$7$8$9DH$gdn hvx*$1$7$8$9DH$gdndh*$1$7$8$9DH$gdn $ a$gdn$&(246FʰydR;R8j^hP"hnB*CJOJQJU^JaJph,jhnB*CJOJQJU^JaJph#hnB*CJOJQJ^JaJph)h.hnB*CJOJQJ^JaJph/h.hn6B*CJOJQJ]^J aJph=jhn6B*CJOJQJU]^J aJmHnHphu2jhn6B*CJOJQJU]^J aJph>jhP"hn6B*CJOJQJU]^J aJph)hn6B*CJOJQJ]^J aJph $&(46R鸦馉馸r`Crr`8jJhP"hnB*CJOJQJU^JaJph#hnB*CJOJQJ^JaJph,jhnB*CJOJQJU^JaJph8jhP"hnB*CJOJQJU^JaJph#hnB*CJOJQJ^JaJph)h.hnB*CJOJQJ^JaJph7jhnB*CJOJQJU^JaJmHnHphu,jhnB*CJOJQJU^JaJphRTV.̷̷̥̥k̷̥N<#hnB*CJOJQJ^JaJph8j"hP"hnB*CJOJQJU^JaJph8jhP"hnB*CJOJQJU^JaJph8j6hP"hnB*CJOJQJU^JaJph#hnB*CJOJQJ^JaJph)h.hnB*CJOJQJ^JaJph,jhnB*CJOJQJU^JaJph8jhP"hnB*CJOJQJU^JaJph.0DFHRTn *,~׺lO8jhP"hnB*CJOJQJU^JaJph8jhP"hnB*CJOJQJU^JaJph)h.hnB*CJOJQJ^JaJph7jhnB*CJOJQJU^JaJmHnHphu8jhP"hnB*CJOJQJU^JaJph#hnB*CJOJQJ^JaJph,jhnB*CJOJQJU^JaJph&(*4DFZ\^hj̛̰̉l̰̉̉Ỏ̰̉8jhP"hnB*CJOJQJU^JaJph8jphP"hnB*CJOJQJU^JaJph#hnB*CJOJQJ^JaJph)h.hnB*CJOJQJ^JaJph7jhnB*CJOJQJU^JaJmHnHphu,jhnB*CJOJQJU^JaJph8jhP"hnB*CJOJQJU^JaJph$ & : < > H J P h n ̛̰̉l̰̉̉Ơ̰8jJhP"hnB*CJOJQJU^JaJph8jhP"hnB*CJOJQJU^JaJph#hnB*CJOJQJ^JaJph)h.hnB*CJOJQJ^JaJph7jhnB*CJOJQJU^JaJmHnHphu,jhnB*CJOJQJU^JaJph8j\hP"hnB*CJOJQJU^JaJphn p ! !!*!,!׺饓v饓Y铥<8j$ hP"hnB*CJOJQJU^JaJph8j hP"hnB*CJOJQJU^JaJph8j8 hP"hnB*CJOJQJU^JaJph#hnB*CJOJQJ^JaJph)h.hnB*CJOJQJ^JaJph8jhP"hnB*CJOJQJU^JaJph#hnB*CJOJQJ^JaJph,jhnB*CJOJQJU^JaJph,!.!4!:!"D"F"Z"\"^"h"j"n"x"~"""""""""""z^A^8j hP"hnB*CJOJQJU^JaJph7jhnB*CJOJQJU^JaJmHnHphu8j hP"hnB*CJOJQJU^JaJph,jhnB*CJOJQJU^JaJph#hnB*CJOJQJ^JaJph)h.hnB*CJOJQJ^JaJph,hp hn5B*CJOJQJ^JaJph&hn5B*CJOJQJ^JaJph! 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