Missionary Application for Support - Mount Vernon Baptist Temple

Give a brief statement of your belief concerning the Charismatic movement.

Do you agree with our beliefs concerning salvation?

Have you been ordained?

Date of ordination

Church

Name	Address

Family Information:

Your birthdate

Spouse's birthdate

Anniversary

You may list any children and their birthdays below. Press the plus to add more lines.

Name	Birth Date

Contact information:

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Board Phone

Other Phone

Describe other phone

What is your target date for being on the field?

What is your target monthly support level in U.S. dollars? Please INCLUDE your work fund if calculated separately.

What percent of your target support do you currently have?*

Please enter a value between 0 and 100.

How many churches, individuals, etc., are you now responsible to report to at your present level of support?

Please attach your information packet

Thank you for helping us to be good stewards of the money God has entrusted to us!

Name

This field is for validation purposes and should be left unchanged.