New Member Application Name Last Middle First Phone Mailing address Male Female Birthdate mm/dd/yyyy Email Facebook URL Part A: Citizenship and Language Citizenship Birthplace City First language Province/State English Language Country Please specify if other: Foreign languages Language Some words and phrases Survival Basic conversational Fluent conversational Professional use Fluency How learned Language Some words and phrases Survival Basic conversational Fluent conversational Professional use Fluency How learned Fluency Some words and phrases Survival Basic conversational Fluent conversational Professional use How learned Part B: Occupational Education status Please list all degrees earned or anticipated by next year Degree Degree Date Date Institution Institution Occupational Current Employment Employer Supervisor Email Job Title Phone Fulltime Part-time Part C: Spiritual Name Location Regarding the church or fellowship which provides the primary context for your current spiritual growth Affiliation (if any) City Length of time attended Name Location Province/State Country Name of primary leader Regarding another church or fellowship, current or prior, that has shaped your spiritual life (if any): Affiliation (if any) City Province/State Country Page 1 of 7 References We will be contacting one or both of these references. Name Email Name Email Pastor or church leader Position Phone Other Christian leader who knows you well Position Phone Part D: Medical Within each category listed, please provide full details of any relevant medical conditions, whether diagnosed or unknown, in the space provided. Under “details” please include dates, symptoms, frequency and severity. Category Condition(s) (if known) Details Prescription or other medications used (if any) Respiratory Such as: ear, nose, throat, or lung troubles, including asthma. Nervous Such as: epilepsy, paralysis, seizures, convulsions, loss of consciousness, or dizzy spells. Psychiatric Such as: insomnia, anxiety, mood disorders, depression, eating disorders Circulatory Such as: high blood pressure, heart disease, or heart murmurs. Also includes diabetes. Other Including stomach or intestinal trouble Allergies To drugs, foods, or any other environmental allergens. Page 2 of 7 Part E: Short Answer Questions Provide a brief, complete response to each item. 1. Briefly describe when and how you became a Christian. 2. If I were to work and live in China, my family’s/parents’ response would be… 4. My greatest fear about going to live in China is… 5. Two years from now I would like to be… 6. If I could not go to China I would like to… 7. Could you see yourself working in China beyond two years? Why or why not? Page 3 of 7 8. What financial burdens, such as credit card debt, student loans, fear of fundraising, etc., might prevent you from being in China long term. How much school loans, credit card debt and total debt (other than a house mortgage) are you currently carrying and how much do you anticipate to be carrying by arrival in China (typically the next upcoming August). 9. Do you play a musical instrument and do you have any experience leading worship/would you be willing to help lead worship for your site team meetings? Part F: Essay Questions Write a short paragraph to answer each question with adequate supporting details. 9. How would you describe your relationship with God at the present time? 10. Why would going to China be beneficial to you and your spiritual growth? 11. What experience have you had in overseas or cross-cultural settings? Page 4 of 7 12. Please list and describe your leadership roles in your fellowship, church or other organization during the last four years. 13. What are some of your primary character strengths and spiritual gifts? How would you see these affecting your team and your ministry? 14. What are some of you primary character flaws and spiritual or emotional struggles? How would you see these affecting your team and your ministry? 15. In the last three years, what was your lowest point spiritually? What factors contributed to it and how did you respond to it? Page 5 of 7 16. Please describe how you've shared your faith with two people within the last two years. Please describe the process in detail.(Keep in mind that your description can include things like sharing your testimony, praying for someone, inviting someone to church/Christian-related event, discussion faith-related questions, etc.) If you haven't shared your faith with anyone in that time, describe what has kept you from doing so. 17. Have you lead someone to Jesus in your lifetime? If so, please describe the process. 18. Do you have any additional comments that might help us in the hiring process? Page 6 of 7 Instructions for submitting your Application based on location China Print and deliver by hand to: Canada, South Africa, USA, or anywhere else Return completed application by email to: Or print and mail to: The China Partners member nearest you. Do not send by email. CPartnerAdmin@gmail.com China Partners c/o Laura Billard 1205 Rio Grande Blvd. Denton, TX 76205 Page 7 of 7