Today's Date: 


Name: 


Address Info:

Street

City


State


Zip

Telephone  

Email        

Birth Date (month/day/year)        

Do you have a preference of ministry location?
Baltimore      Boston      Los Angeles    New York City    Philadelphia      Wyoming    Overseas    

No Preference

Do you have a preference of ministry activity?
Evangelism Only         Administration Only       Both Evangelism and Administration

Have you previously been in correspondence with us for any reason?
Yes      No, First Time Contact

Are you or have you within the last year been an applicant or member of any other mission society? If so, which one(s)?  No      Yes:

Briefly describe your conversion and give reasons for your interest in open air evangelistic work or other areas of OAC.
   

Marital Status:
  Single /  Married / Widowed / Divorced / Separated / Divorced and remarried  plus any comments or clarifications you desire to share.

Name of spouse

Do you have any children? If so, please share their names and ages.

What has been your training to date? State names of schools, dates attended and along degrees awarded.

How many credit hours of Bible courses have you completed?

If you are presently in a training program, when do you expect to complete this program? 

What Christian work / ministry have you done? 

What special skills or experience do you have? 

What would you consider to be your spiritual gift(s)?

What is your present occupation? 

What is your church affiliation? 

Have you any health limitations or physical handicaps? If yes, please explain.

Are you taking any medication? 

List any surgical operations you have needed. 

Have you ever consulted a psychiatrist or been under psychiatric care?

How did you learn of the ministry of OAC? 

Have you ever participated in any OAC training? If so, where?

Comments / Questions