CAMP BIMI ONLINE Preliminary Application FORM

E-mail Address:

Personal Information
Title: First: Middle: Last: Suffix: (Jr, Sr, etc.) Name you go by Address: Suite/Apartment: City: State/Province: Zip/Postal: Country: Date of Birth:mm/dd/yyyy Citizenship: Occupation: Home Phone: Current Grade/Year: Current College Year:
School Information

(Give us your school address

ONLY
if you live at school
OR
at an off campus, school address. Give the School Name
EVEN IF
you commute from home
OR
take correspondence.)

School Name: Your School Address: Suite/Apartment: City: State/Province: Zip/Postal: Country: School Phone: E-mail Address:
Personal Spiritual Information
Are you saved? When were you saved? Where were you saved? Have you been baptized by immersion after your salvation? If so, when and where?
Marital Status
If Single Title: Parent's First Name (s): Parent's Last Name: Suffix: (Jr, Sr, etc.) Parent's Address: Suite/Apartment: City: State/Province: Zip/Postal: Country:
If Married Spouse's Date of Birth:mm/dd/yyyy Spouse's Citizenship: Anniversary Employer's Name Employer's Address: Suite/Apartment: City: State/Province: Zip/Postal: Number of children: Ages of children:
Regarding your future:
Do you feel called to full-time service? Do you feel a specific call to mission work? If you have not been called as yet, are you open to the Lord's leading?
Regarding your interests:
Are you burdened for a certain country? If so, where? Are you burdened for a certain people? If so, whom?
Personal Testimony
How and where did you hear about CAMP BIMI? Please check all boxes that apply. Name of that individual and/or College:
Once you are satisfied with your answers, please press submit.