This form must be completed by all missionaries or mission organizations which may be considered for financial support. No financial support will be granted until this form has been completed. Please realize that we receive calls from scores of missionaries and others wanting support each month. We cannot possibly help all financially. Our time is valuable, as is yours; therefore, it is not necessary to contact us again concerning this matter. Please trust the Lord to speak to our hearts and give us wisdom about who to help financially. Thank you. Name: Address: Phone: E-mail: * Web Address Mission Field: Total monthly support desired: When and where were you saved? Where were you trained for the ministry? Do you believe and teach that the King James Bible is God’s inerrant, inspired, perfect Word of God for the English speaking people? Yes No Is there an inerrant, plenary, inspired, translation of the Scriptures, available in the language you will be using, which was derived from the Textus Receptus or the King James Version? Yes No Which version do you use? Do you believe and teach ALL of the following doctrines?: Genesis account of creation, Christ was God manifest in the flesh, Virgin birth, sinless life and vicarious death of Christ, Depravity of man, The blood atonement, Salvation by grace, through faith, plus nothing, Christ’s literal, bodily resurrection , The imminent return of Christ, Literal Heaven of bliss for the redeemed , Literal Hell of torment for the unredeemed, Eternal security of the believer, Believer’s baptism by immersion, Personal soul-wining commanded for all Christians. Yes No Do you believe in the Universal Church? Yes No What do you believe is the correct definition of repentance, so far as salvation is concerned? Are you a member of a local Independent Fundamental Baptist Church which also holds to these positions? Yes No If yes, which church? Do you believe, practice and teach separation from worldly and so-called questionable activities and amusements such as smoking, drinking of alcoholic beverages, Hollywood, dancing, gambling, etc. (or other activities that are questionable in the area where you labor?) Yes No Do you believe, practice and teach separation from cooperation with unbelievers and those who do not hold to all the fundamentals of the faith (as outlined above) in ALL areas of spiritual activity whether in local church affairs or mass rallies even though they may be labeled evangelistic in nature? Yes No Do you reject all five tenets of Calvinism (Total inability, Unconditional election, Limited atonement, Irresistable grace, Perseverance of the saints)? Yes No What is your opinion and reaction to the "Charismatic Movement"? What is your feeling concerning the National Council of Churches, the World Council of Churches and the Ecumenical Movement which they advocate? What is your feeling concerning the "New Evangelical Movement"? What is your feeling concerning the Southern Baptist Convention? What is your feeling concerning Rick Warren’s purpose driven philosophy and church building model? Do you consider yourself a personal soulwinner? Yes No How many souls did you personally win to Christ last year? Are you affiliated with, or under the auspices of a mission board? Yes No If yes, which one? If we were to take you on for support and your views changed, would you feel obligated to notify us of those changes? Yes No Space for additional explanations or comments: