Full Name* First Name Last Name Email* Phone Number*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Applicant you are referencing* First Name Last Name Email address of applicant you are referencing* Your relationship to the applicant*i.e. parents, employer, pastor, friendRate each of the following:1 (poor) - 5 (excellent) or U (unknown) Note: These are not judgment statements, but ratings based on your observations and interactions with the applicantAbility to disciple and mentor others*12345UnknownAbility to make do with little*12345UnknownAdaptability to other cultures*12345UnknownAdministration and Organization*12345UnknownChristian witness in the community*12345UnknownCommitment to obey all Scripture*12345UnknownConduct with the opposite sex*12345UnknownConflict resolution*12345UnknownCreativity*12345UnknownDependability*12345UnknownDiligence in evangelism*12345UnknownEmotional stability*12345UnknownEvidence of the fruit of the Spirit*12345UnknownFreedom from sin and addictions*12345UnknownHome environment*12345UnknownIndustriousness and work ethic*12345UnknownInner joy and peace*12345UnknownIntelligence/IQ*12345UnknownLeadership skills*12345UnknownManagement of personal finances*12345UnknownMercy for the hurting and needy*12345UnknownMoral purity and victory*12345UnknownPersonal Attractiveness*12345UnknownPhysical health*12345UnknownRelating to people from other cultures*12345UnknownSacrificial love for the body of Christ*12345UnknownSensitivity to others*12345UnknownSocial and relational skills*12345UnknownSpiritual growth*12345UnknownSubmission to authority*12345UnknownReadiness for Christian service*12345UnknownTeam player*12345UnknownTeaching and communication skills*12345UnknownWillingness to serve*12345UnknownComments*Community* Select All Builds Loves and lives within it Drains energy from Damages or destroys Unknown Rate each of the following:1 (poor) - 5 (excellent) or U (unknown) Note: These are not judgment statements, but ratings based on your observations and interactions with the applicantArgumentative*12345UnknownCareless*12345UnknownCritical*12345UnknownDeceitful*12345UnknownDepressed*12345UnknownDiscouraged*12345UnknownDivisive*12345UnknownDomineering*12345UnknownEasily embarrassed*12345UnknownEasily offended*12345UnknownExtravagant*12345UnknownImmature*12345UnknownImmoral*12345UnknownImpatient*12345UnknownImpulsive*12345UnknownIntolerant*12345UnknownIrritable*12345UnknownMentally challenged*12345UnknownMoody*12345UnknownPrejudiced*12345UnknownProud*12345UnknownSelfish*12345UnknownShallow*12345UnknownStubborn*12345UnknownSullen*12345UnknownWeak health*12345UnknownWorldly*12345UnknownWorried*12345UnknownComments*Relates best with (multiple selections are fine):*ChildrenTeensAdultsNot sureApplicant's interest in missions*Short-termLong-termNot sureHas the applicant been involved in abusive relationships, as a victim or an abuser?*YesNoUnknownHow likely would you be to hire the applicant to serve with your mission? (1 being unlikely, 5 being very likely)*12345Best time/days to call (if necessary)*CommentsDo you know others who might appreciate more information about the Ministry Training Center? If so, please list their names and contact information below.After you click "Submit" you will receive an email confirmation and be redirected to our web page about the Long Term Orientation.