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1/8
JUM
PERSONAL FILE
/Yl ^ Date ///cLa^ ~
fuU_ /^/g
Complete
address
on field
Complete forwarding address /3w/?c h
Name and address of Livinglink church or
churches:
N am e in
Streets Street .
^pnd^iJi
f t.
x^Q,
,Zone. .State. City
Zone.
State.
Names and addresses of other sponsoring or endorsing
churches:
Stree t
Street .
City 7nnp. Stafp 7nnP, RtatP
Please send along with this form copies of recom mendations from churches which will encourag
other churches
to support your
missionary work.
There
are churches which
will
not a llow a
visiting
missionary
to
speak unless
a church
recommendation
can be shown. Since
it
is
impos
sible
for
any one person to know al l Christians in the world,
this
r ecommendat ion by a
respon
sible
New
Testament
church
is
a
vital
he lp in
persuading
others
of
your worthiness
and t he
value
of
your
mission. Mission
Services
stands
ready
to help you inform HORIZONS readers about
your
church recommendations. Since the church is sending you
to the
mission f ie ld Acts 13:1-3
and
will
help provide the necessary needs on the field, naturally the church should
share
the
credit in your
missionary
ministry. One of t he ways that the church can do this is to
share
thei
conviction regarding your missionary ministry
with
others. Certainly, their words wil l help
convince others
regarding
the worthiness
of
your work. Please help MISSION
SERVICES to
spread
your news
through
HORIZONS,
Packets and
Slide library by sending your church
recom
mendations as
soon
as possible. Thanks, Send
what
you have now, and the others
later.
Recommendations by
Christian
Leaders:
List
names and addresses here and enclose a copy of
rp each
letter,/Hianks. /9
NAMF
C>\I/?r AJ
/-r/9-/^A^
Namp
AJ/X-Uf
s t r e e t
lOccKjA
9
f Q UJA
a/ .
Streets
QjRUo/^cdUi//t Q,^LoA^rZJCsu> //n
City_XL
Zone
stnfp )
Zone State___^22.3
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Name
and address of hometown
newspaper
\oOf2-AJaJ (K iU/
y / e
.
Name and address of other
papers
which might
carry
stories of your work:
S t r e e t s
Z o n e .
S t a t e . Z o n e . S t a t e .
S t r e e t .
C i t y _
City.
Place of
PTRTH. ^ ^
^
M^th
ay of bir th
Where baptised?
/ / f j
t j f
. 0 (/
ty P Au ^?
/
JljIu
s t a t e .
On an
extra
page
please
describe
any
details regarding
conversion
which you might
care
to
m e n t i o n .
M A R I T A L
STATUS;
MarriP>d, l /
. Single
Date of
marr iage .
Divorced ,
y , i9ss
W i d o w e d
f p / P /J>
S
W h e r e
m a r r i e d
Who
solemnized your wedding? J
List
children by
full
name
giving
place,
day, month,
and
year
of
birth:
(If your children
have been
adopted,
please
indicate.
N a m e
J^DMCchL
Vnkrz-k- fj M/u
^CUZCL-l. /?V Al
P l a c e
of
t h e i r
b i r t h
day , month , and
year
^IZcLujAftDs.oi/I?. .
l/Ncl
y
t L
^
7
y
G /
?
u
n 3
o
C s
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Please list places of
previous Christian
service and what service you did.
Give approximate
dates:
P l a c e S e rv ic e a te s
^-Le-pe/ CliZjsT^i
SCHOOLING h igh schoo l and later :
Name of
school Location Number
of years Degrees and date granted
\ltlU
/ MfUJ
iG
What th ings influenced you to
become
a
missionary?
What is your purpose? What do you hope
to
accomplish on th e
mission
field? Your
own story
in
some
detail might
be
influential in
leading
others
into
fulltime service U se
an
extra sheet
if
you
need
more
space :
Descr ibe br ie f ly
in
outline
form
th e
nature of your
daily
duties on
th e
field:
A.ou pcuz
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PARENTS:
Father s
name and home aHHrpgw
Living Deceased ^_fl^
AI9UJ Jp^cft AL/K
. Sti-eet^ City
Zone
State
His nonnpatinn Tq he a Christian? yes no
What positions of
leadership
has he held in th e
local
church?
Wha t C h r i s t i a n
s e r v i c e d o e s he
now d o ?
M o t h e r s
full m a i d e n name: npopagAH
S t r e e t .
9 t o
. C Z one - S t a t e _
Is
sh e a Christian? v^g Nr> Her occupation
if
employed outside the home
What
leadership positions or Chr is ti an s ervi ce has she rendered to the local church?
FORWARDING AGENT:
N a m e
i . K J J l J N U A L r J i J N i :
1 V
/ ^/9MM
RtrPfit
i
/ / Z o n e .
Rtato O^AJ /a .Telephone:
Where attend
ohuvoAs ?
nJ aJ^ S
City.
i ^ lO^d/a.
j T o
cd7rR ;
What duties
are
performed
by
the forwarding
agent:
Does
the
forwarding agent receive a gaTary? /JO
^ u p p / y d o r t Z I S , t L 9 .
f
Should money be sent to
the
forwarding
agent
only?
\J
In
what form
should funds
be
gpnt?
^ ^ /
If funds
are to be
sent directly
to the
missionary on
the f ie ld
please explain
the
details of how to
do it so we
can
give your
explanation
to HORIZONS readers and others who may
inquire
Use th e remainder of this
sheet
or
an
additional
sheet
to supply other
information
which
you
think
might be helpful to the
staff of MISSION SERVICES in
preparing
news
stories
about
your
ministry:
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N am e an d
address of
hometown newspaper.
to
D^oi
/I^
^
N am e an d
address of other papers which
might c a rry
stories of your work:
St ree t
S t r ee t
Ci t y.
Zone
Sta t e
City,
Zone
Sta te
Place
o f B IR T H^
/ o-a/a^ ^
Day
of hiT h
^ Yfn^
Where baptTspd? LtL tp
City.
fUAi4^Pf) =^
Qill L
Sta te
7
On
an
extra
page
p l ea se d e sc r ib e
an y
d e ta i ls r e g a rd i n g
conversion
which
yo u
might
car e
to
men t i on
M A R I T A L S T A T U S :
MarripH
\/
Single.
Divorced
S c p d B
/ 9 S h
W i d o w e d .
Whe r e ma r r i e d ?
ate
of m a r r i a ge
Q/zo-w-^Dsu /ff i
Wh o s o le m n iz e d y o ur
wedding? ^ 7
List children by full name giving
place,
day, m ont h,
an d
year of
birth:
If
your children
h ave b ee n adopted,
p l e as e i n d ic a t e .)
N am e
P lace of t he i r b i r t h
X ^ d
SlMJiiJ
Ro
Sx
2CLk idcRIu7 nJ
r l
l
d ay , m on th, an d
y e a r
^
7
t
3
/ C /
3
6
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Please list places of
previous Christ ian service
and what
service
you did . Give approximate
dates:
D a t e s
5
5 ^
P l a c e
S e r v i c e
SCHOOLING h igh
s choo l and later):
N a m e
o f
s c h o o l
L o c a t i o n
SeJuso/
Number of
years Degrees and
date
granted
9s
\/ /?s,
What things
influenced
you to
become
a missionary? What is
your
purpose? What do you
hope
to accomplish on the miss ion f ie ld? Your own story in some d etail might
be
influential i n l eading
others
into
fulltime
service Use an extra
sheet
if you need
more
space);
Bfii: LofZiO dJ B
b-P l -Per UJOfZ^k}/^ d -66 SffZidLc/ 66/5
UJ rZdl,
X
X X 60
iX.A/(3(
T^e^/ / / s
out
U- t6
te
~t/Zi/k
iA/docZs,
_Z~Z^t/e
/ aX
o-
tdn/^yo/et^
apNiXd -/PiX
~t6ast
trtt 6oz2 q L
Uj j MXd So trLchNow tt see /e
Descr ibe brief ly in
outline
form th e nature
of
your daily
duties on
the
field:
S l UxCtfU / J UoidSfA/^^ S^U^^/i//s
LUi / / A /
i i ^ ltd QOiZ
1
Evangelist.
Bible College Teacher.
B. L.
-^lA/^
{Xjfd~
^ /^Lt
^pUjtcud/K4G^
/-0(/^
^COo/zJ.^
Which of the following terms most nea rly describes your missionary status?
P u b l i c
School T e a c h e r .
H o m e m a k e r .
D o c t o r .
N u r s e
S o c i a l
w o r k e r .
T\lucio t e a c h e r
Radio minis try , Radio followup.
C h r i s t i a n
S e r v i c e
Camp,
Linguistics.
Maintenance of
mission
equipment.
B e n e v o l en c e O f fi c e w o r k .
N a m e
o t h e r :
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P A R E N T S ;
Father s
namfi and
hnmp aHHrffsw
Hu/
/J Oj.Unn^
^
Deceased-
/lr.o
P / n ,
Cij- C Roujjjhr^oe.Oi//e.
//OK CcL^t r t fVt
street City: Zone_State
His nnnnpatinn./f^^/^>/Z Ta he
a
Christian? yes. * nn.
What positions of leadership
ha s he held in th e local c hur c h?
. Old/ /Je -
W h a t
C h r i s t i a n
s e r v i c e
d o e s
h e
n o w d o ?
M o t h e r s f u l l m a i d e n
n a m e
D e n e a s e H
l l f 9
V ? 9
Is she
a
Christian? Ves
^
hrn_ Her
occupation if employed outside the home
What leadership positions
o r
Christian
service
h as
she
r e nde r e d to
th e
local
church?
Ti
/ e
F O R W A R D I N G
A G E N T :
NamP.
iPRyrj/^
M-CL,/L^/ A^/ StrPPt. Ujo-/AJ
t-Zo
U//\/
CAtv(^i2.()M-''l^fZDSU{ //^
Znnp. State. ^ Telephone: 36^^ ~3^K^
Where attend
o h u v o h C
CTt/^iXO^
/?-[)S
U
//r-..
Zone
tat
Should mone y be sent to
the
f o rw a r di n g a g e n t only?.
In what form should
funds
be sent? R - R /
What duties are performed by
the
forwarding
a
gent- CL./ ^P/OQ/^AT^