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:

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:

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?

Regarding your future:

Do you feel called to full-time service?
Do you feel called to mission work specifically?
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

Salvation Experience

Share your missionary burden and/or call as you know it to be at this time.

How and where did you hear about CAMP BIMI? Please check all boxes that apply. Name of that individual and/or College: