General Information
Full Name:
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Date of Birth:
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Are you married?
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Yes
No
Full Name of Spouse:
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Spouse's Date of Birth:
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Wedding Anniversary:
*
Have you ever been divorced?
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Yes
No
Do you have children?
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Yes
No
Number of Children:
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1
2
3
4
5
6
7
8
9
10
More than 10
Children's Names & Dates of Birth:
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Phone Number:
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Email Address:
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WhatsApp Number or International Phone Number:
Preferred method of communication:
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Phone Call
Text Message
Email
WhatsApp Message
Facebook Messenger
Website Link:
Social Media Link(s):
US | Home Mailing Address
*
Field Mailing Address:
City and/or Country in which you will be serving or are currently serving:
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Mission Board | Clearing House
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Home Church:
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Home Church Address:
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Pastor's Name:
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Contact Number for Church or Pastor:
*
Years attended at home church:
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0-1 year
2-3 years
4-6 years
7-10 years
11-15 years
16 - 20 years
20+ years
Contact Email for Church or Pastor:
*
Sending Church is:
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Same as Home Church
Different from Home Church
Sending Church Name:
*
Sending Church Address:
*
Sending Pastor's Name:
*
Contact Number for Sending Church or Sending Pastor:
*
Contact Email for Sending Church or Sending Pastor:
*
Length of time spent on the field (can be zero):
*
Length of time spent on deputation (can be zero):
*
Have you made a survey trip?
*
Yes
No
Projected arrival date to field (if on deputation):
Ministry Information
Please list below any education you have received. Include your field of study, degree obtained, educational institution, and year of completion:
*
Please list any previous ministry experience:
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Total Monthly Support Needed:
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Percentage of Needed Support Fulfilled so Far:
*
Do you believe and teach that the Bible is the perfectly inspired Word of God without error?
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Yes
No
Do you exclusively use the King James Version in English?
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Yes
No
If using another language, what Bible version do you use?
What would you consider yourself?
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Pastor
Church Planter
Missionary Helper
Are you an Independent Baptist?
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Yes
No
What is the central purpose of your ministry?
*
Service Information
How did you find out about Neuse Baptist Church?
*
List the date range or specific dates that you would like to schedule a service with Neuse Baptist:
*
Do you have a video presentation you would like to share?
*
Yes
No
Do you or your family provide special music?
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Yes
No
Share any additional information you'd like for us to know about you or your ministry:
Do you have a recent photo, prayer letter, or info packet to provide?
*
Yes
No
Link to recent photo:
Link to most recent prayer letter:
Link to info packet:
Submit
