Country of birth:
Date of birth:
Marital Status: Single Married
Separated Divorced Widow: Widower:
What musical instruments do you play well?
Have you any vocal ability(solo,group,choir,etc.)?
Date of last physical exam(dd/mm/yy)
Present Health: GoodFair: Poor:
Do you wear contact lenses? Yes No
Do you use: Tobacco? Yes No
Alcoholic Drinks? Yes No Illegal drugs? Yes No
Since nationals view each crusader as a missionary, it is
necessary for crusader to comply with missionary standards.
Therefore, while in transit to and from the field, and while
on the field no tobacco, alcohol, or illegal drugs are
Explain how you feel your skills, hobbies and Professional
training can be beneficial on an overseas mission field.
What kind of passport you have:
Do you have a passport? Yes No Passport
Issued where Date
issued Date expires
nationality, if any
In case of emergency, notify Name Phone
Describe church activities(committees etc.)
Do you attend church regularly? Yes No
Do you belong to any other organization? Yes No