W
estern Indian Ministries, Inc.Application for Mission Service
Date ____________________________
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MINISTRY ASSIGNMENT YOU ARE SEEKING
| Position: ____________________________________ | Location: ________________________________ |
| Please check desired status: | Please check desired term of service: |
| [ ] Missionary (funds raised by applicant) | [ ] Short-term (one year or less) |
| [ ] Employee (paid from mission funds) | [ ] Indefinite (more than one year) |
| [ ] Volunteer (no wages or salary) |
Employee & Volunteer Applicants check one:
| ________________________________________________________________________________________ | |||
|
Last name |
First |
Middle |
|
| _____________________________________________________________________________ | |||
| Current Address | City | State | Zip |
| ________________________________________________________________________________________ | |||
| Permanent Address | City | State | Zip |
| _____________________________________________________________________________ | |||
| Current Phone Number | Fax Number |
Email Address |
|
| _____________________________________________________________________________ | |||
|
Name of Emergency Contact |
Phone Number (000-000-0000) |
||
| _____________________________________________________________________________ | |||
| Address | City | State | Zip |
| _____________________________________________________________________________ | |||
| Social Security Number (Optional) | Are you age 18 or older? | ||
| _____________________________________________________________________________ | |||
| Are you Native American? (Optional) | Tribal Membership (Optional) | ||
| Is any additional information relative to change of name, use of an assumed name, or nickname necessary |
| to enable a check on your work and educational record? __________ If so, please explain: _____________ |
| ________________________________________________________________________________________ |
| Do you have any disabilities or health problems that would limit your scope of service? _______ |
| Please explain: ____________________________________________________________________________ |
| _________________________________________________________________________________________ |
| What languages other than English do you read, speak or write?____________________________________ |
| Are you presently authorized to work in the United States on a full-time basis? __________ If offered a |
| ministry assignment, can you submit satisfactory evidence of your identity and legal right/authorization |
| to work in the United States? __________ |
| Have you ever been convicted of a felony? __________ Are you a defendant in any pending criminal |
| matter?_____ If the answer is yes to either question, state the details (a conviction will not necessarily |
| disqualify you from a ministry assignment): ____________________________________________________ |
| _________________________________________________________________________________________ |
| Have you been convicted of any offense involving actual or attempted molestation, exploitation, abuse, or |
| neglect of a minor? __________ If yes, please explain: ____________________________________________ |
| _________________________________________________________________________________________ |
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EDUCATION
| Institution Name & Location | Academic Major & Minor | Certificate or Degree | |
| ______________________________________________________________________________ | |||
| High School | |||
| ______________________________________________________________________________ | |||
| College or University | |||
| ______________________________________________________________________________ | |||
| Bible School or Seminary | |||
| ______________________________________________________________________________ | |||
| Other | |||
Describe any other
specialized training or ministry experience you
have received:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
List all the courses you have taken in Bible, theology,
and missions (or attach transcripts): _______________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
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LICENSES AND CERTIFICATIONS
List
(or include copies of) any professional licenses, certifications, or other
occupational credentials you
currently hold.
| Name & Number of License/Certificate | Issuing Authority | Date Issued | Expiration Date |
| _______________________________________________________________________________ | |||
| _______________________________________________________________________________ | |||
| _______________________________________________________________________________ | |||
| _______________________________________________________________________________ | |||
Does the position you are seeking require the operation of a motor vehicle? _______
Identify applicable licenses currently in effect and any citations within the last five years:
| License Number | License Type | Issuing Authority | Date Issued | Expiration Date |
| __________________________________________________________________________________________ | ||||
| _______________________________________________________________________________ | ||||
| _______________________________________________________________________________ |
||||
| Date of Citation | City/County/State | Violation | Disposition | |
| _______________________________________________________________________________ | ||||
| _______________________________________________________________________________ | ||||
| _______________________________________________________________________________ | ||||
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|
1. |
____________________________________________________________________________ | |||
| Employer's Name | From (mo/yr) | To (mo/yr) | ||
| ____________________________________________________________________________ | ||||
| Address | City | State | Zip | |
| ____________________________________________________________________________ | ||||
| Supervisor's Name | Title |
Phone Number (000-000-0000) |
||
| ____________________________________________________________________________ | ||||
| Your Job Title | Your Primary Responsibilities | |||
| ____________________________________________________________________________ | ||||
| Reason for Leaving | ||||
|
2. |
____________________________________________________________________________ | |||
| Employer's Name | From (mo/yr) | To (mo/yr) | ||
| ____________________________________________________________________________ | ||||
| Address | City | State | Zip | |
| ____________________________________________________________________________ | ||||
| Supervisor's Name | Title |
Phone Number (000-000-0000) |
||
| ____________________________________________________________________________ | ||||
| Your Job Title | Your Primary Responsibilities | |||
| ____________________________________________________________________________ | ||||
| Reason for Leaving | ||||
|
3. |
____________________________________________________________________________ | |||
| Employer's Name | From (mo/yr) | To (mo/yr) | ||
| ____________________________________________________________________________ | ||||
| Address | City | State | Zip | |
| ____________________________________________________________________________ | ||||
| Supervisor's Name | Title |
Phone Number (000-000-0000) |
||
| ____________________________________________________________________________ | ||||
| Your Job Title | Your Primary Responsibilities | |||
| ____________________________________________________________________________ | ||||
| Reason for Leaving | ||||
Do you have any unpaid or volunteer
ministry or work experience that you would like to be
considered?
___________
If so, please explain:
__________________________________________________
__________________________________________________________________________________________
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PLEASE NOTE: Western Indian Ministries, Inc., does not base
hiring decisions on marital or family status but
considers marriage and family
relationships in evaluating an applicant’s spiritual fitness for duty.
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| __________________________________________________________________________________________ | ||
| Are you married or single? | If married, Spouse's Name | Date of Marriage |
| __________________________________________________________________________________________ | ||
| If single, have you ever been married? | If so, Former Spouse's Name | Date Marriage Ended |
| __________________________________________________________________________________________ | ||
| If single, are you engaged? | If so, Fiancé(e)'s Name | Wedding Date |
| __________________________________________________________________________________________ | ||
| If you have ever been divorced or separated, briefly explain the circumstances: | ||
| __________________________________________________________________________________________ | ||
| If married or engaged, what are your spouse's/fiancé(e)'s thoughts about your proposed assignment? | ||
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|
Name |
Birthdates | Grade |
| ___________________________________________________________ | ______________________ | _________ |
| ___________________________________________________________ | ______________________ | _________ |
| ___________________________________________________________ | ______________________ | _________ |
| ___________________________________________________________ | ______________________ | _________ |
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_________________________________________________________________________________________
Parents' Names
_________________________________________________________________________________________
Parents' Address
City
State
Zip
What are you parents' thoughts and feelings about
your proposed mission service? ____________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
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FINANCIAL INFORMATION
Missionary Applicants only
Is anyone other than your minor children dependent on
you for financial support? _______
If so, please explain:________________________________________________________________________
What experience have you had trusting God to provide for your
financial needs? ______________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Have you received any commitment from your church or other
Christian organizations toward your monthly
support needs if you are accepted
for mission service? _______
Are you willing to come to the mission headquarters at your
own expense for a personal interview and/or to
attend candidate school? _______
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Briefly describe your
conversion to Jesus Christ as your Savior and Lord, and state the date or
approximate
time in your life.
___________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Briefly describe your daily
walk with Christ. How has your life been different? How have you grown in your
commitment to Jesus.
________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
| __________________________________________________________________________________________ | |||
| Name of Church presently attending |
Affiliation |
||
_______________________________________________________________________________ |
|||
| Address | City | State | Zip |
__________________________________________________________________________________________ |
|||
| Pastor’s Name |
Phone (000-000-0000) |
||
How many years have you attended? _______ Do you attend weekly? _______ Are you a member? _______
What ministry do you have (how
are you serving) in this church? ___________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
In what ways have you helped
others to come to and grow in their relationship with Jesus?
______________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
What are your spiritual gifts and how do you envision using
them in your work with this mission? ________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Why are you applying to Western
Indian Ministries? ______________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Have you ever applied to
another mission or similar Christian organization? _______ If so, what was the
outcome of your application? If your application was denied, what reasons were
you given? _____________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Have you ever served with another mission or similar Christian organization? _______
| __________________________________________________________________________________________ | |||
| Name of Organization | |||
__________________________________________________________________________________________ |
|||
| Address | City | State | Zip |
__________________________________________________________________________________________ |
|||
| Name of Person in Charge | |||
______________________________________________________________________________ |
|||
| Reason for leaving | |||
|
Used in Past |
Currently |
|
| Alcoholic beverages | [ ] | [ ] |
| Tobacco | [ ] | [ ] |
| Illegal Drugs | [ ] | [ ] |
| Peyote | [ ] | [ ] |
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Who is Jesus Christ?
________________________________________________________________________
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Why did Jesus die on the
cross?________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
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What happens to a person,
after death, who does not know Jesus as Lord and Savior?
___________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
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Can a person earn salvation?
_______ If yes, please explain. ________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
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Can a person who has been saved by faith in Jesus ever lose their salvation? _______ If yes, please explain:
If you have been baptized by
water, did this water baptism save you? _______ If yes, please explain:________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Should the spiritual gifts of
tongues, healing, and miracles found in the book of Acts be sought after
today?
_______
If so, for what
purpose?_______________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Can women be pastors and elders?
_______ If yes, please explain: ___________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
What is the "indigenous church
principle"? _____________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Do you agree with and support it? _______
Teacher Applicants only --
Please state your Philosophy of Education:
________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Radio Applicants only
-- Why do you believe in Christian broadcasting?
_____________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
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All of the statements I have made on this application are complete and true to the best of my knowledge. I have not omitted any information requested that might negatively influence the decision regarding my acceptance or rejection for mission service.
Unless otherwise noted on this application, I authorize Western Indian Ministries, Inc., to investigate all statements made on this application or on any resume or other document I submit and to contact all persons, organizations, and others referred to in this application, in my reference forms, and in any other document I submit.
I understand and agree that if I am accepted for mission service, my ministry assignment will be conditioned upon my meeting the following qualifications at all times during the term of my service with the mission:
(a) I affirm, as part of the qualifications for this ministry assignment, that I am a "born again" Christian who knows Jesus Christ as Lord and Savior (John 3:3; I Pet. 1:23).
(b) I will manifest by precept and example the highest Christian virtue and personal decorum, serving as a Christian role model (I Tim. 4:12), both during and outside of working hours, both on and off mission premises, to students, parents, fellow workers, and the community at large in judgment, dignity, respect, and Christian living. This includes but is not limited to refraining from such activities as the excessive use of alcohol, any use of tobacco or illegal drugs, any use of Peyote, and any use of vulgar or profane language (Col. 3:17; Tit. 2:7-8; I Thess. 5:18, 22-23; and Jas. 3:17-18).
(c) I agree that the Bible dictates the standards for sexual behavior, that all homosexual conduct, other deviant sexual behavior, promiscuity, and pre- and extra-marital sexual relations are forbidden and as such violate the bona fide occupational requirement of being a Christian role model, that the unique roles of the male and female are clearly defined in scripture, that Romans 1:24-32 states that God recognizes homosexuals and other deviates as perverted, and that deviation from scriptural standards is grounds for termination (Rom. 12:1-2; I Cor. 6:9-20; Eph. 4:1-3, 5:3-5; I Thess. 4:3-8; I Tim. 4:12; II Tim. 2:19-22; I Pet. 1:13-16, 2:15-17; I John 3:1-3).
(d) I accept without verbal or mental reservation the Statement of Faith and the mission, vision, and direction statements of the mission and am committed to upholding them.
(e) I will faithfully attend and financially support a local church whose fundamental beliefs are in agreement with the Statement of Faith and policies and practices of the mission (Heb. 10:25).
(f) I will abide by the rules and regulations of the mission, as they exist from time to time.
(g) If my position requires any professional or occupational certifications, I will meet all such requirements.
(h) I will follow the biblical pattern of Matthew 18:15-20 and Galatians 6:1 and resolve all differences by utilizing biblical principles.
(i) I will not enter into responsibilities or other employment during the term of my service with the mission that will in any way conflict with my ministry assignment.
(j) If at any time during the term of my service with the mission I cannot hold true to the above and find myself out of harmony or sympathy, or in discord or disagreement, with the philosophy, standards, or administration of the mission, I will immediately make that fact known to the mission administration. Unless the lack of harmony, discord, or disagreement can be harmoniously adjusted without publicity, I will voluntarily withdraw from my service or will be subject to termination.
I understand and agree that if I am offered a ministry assignment (position) with the mission—whether supported, salaried, or volunteer—(1) my service will be terminable at will, at any time, either by me or by the mission, with or without a reason, and with or without advance notice, (2) only the chief executive officer of the mission acting upon resolution of the board of directors has authority to modify the at-will nature of my relationship with the mission, and (3) the chief executive officer can do so only if it is done specifically in a written agreement that is signed by both the chief executive officer and me. No rights of tenure or presumption of continued service or employment are conferred or implied by the mission.
I understand and agree that the Bible commands Christians to make every effort to live at peace and to resolve disputes with each other in private or within the Christian community in conformity with the biblical injunctions of I Corinthians 6:1-8, Matthew 5:23-24, and Matthew 18:15-20. Therefore, I agree that any claim or dispute arising out of or related to my service with the mission or to any aspect of my relationship with the mission—including any employment relationship I may have with the mission, statutory claims, and the determination of the scope or applicability of the agreement in this paragraph to submit to mediation/arbitration—will be settled by biblically based mediation and, if necessary, legally binding arbitration, in accordance with the rules of the nearest Christian conciliation service affiliated with or sponsored by the Christian Legal Society, or if not available, by a similar organization agreeable to the parties. Judgment upon an arbitration award may be entered in any court otherwise having jurisdiction. I understand and agree that these methods will be the sole remedy for any such claim or dispute and expressly waive my right to file a lawsuit in any civil court against the mission or any of its directors, officers, employees, or other agents (including my right to jury trial), except to enforce an arbitration decision. The provisions of this paragraph will not preclude me or the mission from seeking injunctive relief or remedies provided by law that cannot be made subject to these provisions (such as workers’ compensation benefits).
I understand that I am entitled to a copy of this application upon request.
Date _______________________________ Signature _______________________________________________
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Article I: We believe the Bible, consisting of the Old and New Testaments only, is verbally inspired by the Holy Spirit, is inerrant in the original manuscripts, and is the infallible and authoritative word of God.
Article II: We believe that the one triune God exists eternally in three persons: Father, Son and Holy Spirit.
Article III: We believe that Adam, created in the image of God was tempted by Satan, the god of this world, and fell. Because of Adam's sin, all men have guilt imputed, are totally depraved, and need to be regenerated by the Holy Spirit for salvation.
Article IV: We believe that Jesus Christ is God, was born of a virgin, died vicariously, shed His blood as man's substitutionary sacrifice, rose bodily, and ascended to heaven, where He is presently exalted to the Father's right hand.
Article V: We believe that salvation consists of the remission of sins, the imputation of Christ's righteousness, and the gift of eternal life received by faith alone, apart from works.
Article VI: We believe that the return of Jesus Christ is imminent, and that it will be visible and personal.
Article VII: We believe that the saved will be raised to everlasting life and blessedness in heaven, and that the unsaved will be raised to everlasting and conscious punishment in hell.
Article VIII: We believe that the church, the body of Christ, consists only of those who are born again, who are baptized by the Holy Spirit into Christ at the time of regeneration, for whom He now makes intercession in heaven and for whom He will come again.
Article IX: We believe that Christ commanded the church to go into all the world and preach the gospel to every creature, baptizing and teaching those who believe.
Additional Positions and
Statements
Western Indian Ministries takes a position on several doctrines not directly
covered in our doctrinal statement.
The Mission expects the premillennial return of Jesus Christ to establish His reign on the earth.
Article VII of the restated
Articles of Incorporation of Western Indian Ministries, Inc. (1998):
We are an evangelical organization, separate and independent from
denominational affiliation, and do not promote or endorse unity through
compromise of biblical truth, acceptance of extra-biblical revelation, or
emphasis on sign gifts as measures of spirituality.
It is understood that we recognize that most of those who hold to the above positions are Christian brothers and sisters, that the so-called Charismatics do not necessarily hold to all points that we consider error, and that the joy and spontaneity exhibited by some Charismatic believers is desirable and commendable. But, we cannot cooperate with them in spiritual ventures or be in a position of seeming to condone the errors to which they may hold. We further feel that the joy and freedom often admired in their services should be sought in more biblical ways.
This means for our staff that regular attendance at so-called Charismatic meetings, Bible studies, and activities of this nature, or churches recognized as "Charismatic" will be considered as a breach of the principles and practices of the Mission.
Mission Statement:
Western Indian Ministries exists to glorify God by making disciples of
Native Americans, and training native Christians to be leaders in indigenous
churches.
I hereby affirm my agreement with the Doctrinal Statement and other statements printed above.
Date: ___________________
Signature: ___________________________________________________________