General Board of Global Ministries

Mission Personnel

475 Riverside Drive - Room 320       New York, New York 10115, U.S.A.
www.gbgm-umc.org

Personnel Information Form


Name (Last, First, Middle):______________________________________________________________

Current Street Address or P.O. Box: ______________________________________________________

City, State and Zip/Postal:_______________________________________________________________

Country:_________________________________ Valid until: __________________________

Permanent Address: _______________________________________________________________________________

(if different from above) __________________________________________________________________

Telephone Numbers: Home: ________________________
E-mail: ________________________ Work: ________________________
Fax: ________________________ Other: ________________________

I wish to be considered for: (check all that apply)

Amity Mission Pastor National Plan For Hispanic Ministries
Church & Community Worker Missionary Peace With Justice Educator
Deaconess Missioner of Hope Handy, Young Adult Missioner

Personal Information

Gender: Male Female Citizenship:___________________ Passport No.___________________

Social Security Number (If applicable): _____________________________

Green Card Number (If applicable): _____________________________

Residency Card (If applicable): _________________ Valid until/Status? ______________________

Date of Birth: (mm/dd/yr)_________ Place of Birth: __________________________________

Present Occupation: _______________________________________________________________

Nationality: _____________________________

Optional: Ethnic Identity: _________________ Racial Identity_____________

Marital Status: Single Married Divorced

If Married, date of marriage: (mm/dd/yr) _______________________

Spouse's Name: ______________________ Spouse's Birth Date: ______________________ mm/dd/yr

Spouse's Occupation: ___________________________________

Is spouse also applying for missionary service? Yes No

If Divorced, Date of divorce: (mm/dd/yr)____________Divorce Pending?:____________

Children: (If child is adopted, please give legal status of documentation)
Name Gender Date of Birth Will child accompany you?
(Yes/No)
1. - - -
2. - - -
3. - - -
4. - - -

In Case of Emergency

Contact Person/Next of Kin:

Name: _________________________________________ Relationship: ________________________

Address: _______________________________________ Phone: _____________________________

Church Identification


Local Church: ________________________________________________________

Member since what year? _____________

Pastor: _________________________________________________________

Address: _________________________________________________________

City, State, Zip: _________________________________________________________

Phone Number: _________________________________________________________

Ordained?

Consecrated?

Commissioned?

If United Methodist

Position Requested


Placement(s) for which you wish to be considered:
Country Position
- -
- -

Are you willing to be considered for other types of placements? Yes No

If yes, please specify: __________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________

In other countries? Please specify: ______________________________________________________________

Availability Date: __________________________ For how long? __________________________

WORK EXPERIENCE:


(Include resume if available. Include all employment. Explain all interruptions in employment. If necessary, add additional page)
Dates Organization/address Title Duties Performed
From:          To: - - -
From:          To: - - -
From:          To: - - -
From:          To: - - -
From:          To: - - -
From:          To: - - -

EDUCATION


(Please list all institutions of higher education which you have attended below.)
From each institution of higher education which has awarded you a degree, request that your official transcript (signed by the registrar and affixed with the raised seal of the institution) be sent to you in a sealed envelope. When you receive the transcript(s), do NOT open the envelope. Place the sealed envelope(s) containing your transcripts in the large priority mail envelope provided along with your completed personnel information form and references.
Name of College And/Or Professional School Date of Entrance Degree and Date Granted or Date Expected Specialization Major/Minor
- - - -
- - - -
- - - -
- - - -
- - - -

Present Or Anticipated Qualification Or Certification(s): (Attach Copies Of Certificates)

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

For Teachers: Certification for grade level(s) and/or subjects: (Attach Copies Of Certification)

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

LANGUAGE ABILITIES:

Language: (What languages do you know? Please include English)
1. Read Converse Speak Write Native Lecture/Preach
2. Read Converse Speak Write Native Lecture/Preach
3. Read Converse Speak Write Native Lecture/Preach
4. Read Converse Speak Write Native Lecture/Preach

Complementary Information:

What other information may be helpful to share as we explore the possibilities of Mission Service? (e.g., salary needs, responsibilities, family attitudes, personal philosophy, timing, etc.) You may use the back side of this page. ATTACH an extra type written sheet if necessary.

EXPERIENCE AND VOCATION TO CHRISTIAN MISSION

(Using additional sheets of paper, please respond to each of the following questions in one concise paragraph. Number each question accordingly. Print your name on the upper left hand corner of EACH page.)

1. CHRISTIAN EXPERIENCE:

2. UNDERSTANDING OF MISSION

3. INTER-CULTURAL, INTER-ETHNIC AND INTERRACIAL EXPERIENCE AND UNDERSTANDING:

4. PERSONAL RELATIONSHIPS AND INTERPERSONAL SKILLS:

5. PROFESSIONAL COMPETENCE AND EDUCATIONAL PREPARATION:

6. PHYSICAL AND EMOTIONAL HEALTH:

7. CHRISTIAN FAMILY LIFE:

SKILLS AND PROFESSIONAL EXPERIENCE

1. Grade yourself on the following skills. Note professional experience and certification below.

_____Driving a Car _____Conducting Workshops _____ Supervising
_____Driving a Jeep _____Teaching _____ Organizing Events
_____Driving a Bus specify___________________ _____ Organizing and Guiding Committees
_____First Aid _____Community Organization specify ___________________
_____Gardening _____Enlisting/Training Volunteers _____ Club Group
_____Operating a Camp _____Leading Discussions _____ Directing Games
_____Raising farm animals _____Conducting Meetings _____ Music Skills
_____Raising house pets _____Planning and Leading _____ Play musical instrument
_____Agriculture _____Planning a budget specify ___________________
_____Computer skills _____Fund Raising _____ Leading singing
specify______________ _____Bookkeeping/Accounting _____ Leading choir
_____Office Management _____Legal _____ Coaching athletics
_____Typing specify___________________ _____ Directing Drama
_____Carpentry _____Planning Events _____ Writing
_____Electrical work _____Teaching church school _____ Photography
_____Mechanical work to children ____ to adults ____ _____ Crafts
_____Health/Nutrition _____Medical _____ Teaching
specify_____________ specify_____________ specify_____________

2. Skills and professional experience for which you believe you are best suited. (Specify area and certification)

Administration _________________________

Medical ___________________________
Agriculture____________________________ Pilot/Mechanical_______________________
Education____________________________ Social Work__________________________
General______________________________ Legal________________________________
Local Church__________________________ Finance_______________________________
Other______________________________ Other______________________________

3. What skills and special talents do you offer to mission service?



4. What tasks do you find most challenging?



5. What tasks will you not perform?



6. How do you work best? Alone?_____ In teams?_____





7. In what areas have you taught or trained others?



8. What are your hobbies? (Sports, crafts, etc.)



9. What do you do for relaxation?



REFERENCES

Please list below the names, addresses, and phone numbers of not less than five persons who are qualified to provide further information about you. Select as diverse a group of persons as possible with regard to race, gender, age, etc.

To each person listed as a reference, send a copy of the Confidential Reference Form along with the envelope provided. Make sure that the envelope is addressed to yourself.

Each person must complete the form confidentially. Request each reference person to enclose their completed form in the envelope provided. Have them seal the envelope, affix their signature over the sealed flap, and mail it back to you. When you receive the envelopes do not open them.

Place the sealed envelopes with your completed Personnel Information Form, along with your transcripts in a large envelope. When all references and transcripts have been received (see instructions) mail the completed packet of materials directly to:

Chairperson (of your)
Conference Committee on Mission Personnel

-or-

General Board of Global Ministries
Mission Personnel
475 Riverside Drive - Room 320
New York, NY 10115, U.S.A.

1.________________________________________________________________________________
(Laity: Your current or former Pastor. Pastors: Your District Superintendent. Clergy Family: use non-relative)

2.__________________________________________________________________________________
(Teacher Or Instructor In College, Seminary, Graduate School Or Any Other Learning Experience)

3.__________________________________________________________________________________
(Colleague In a Learning Experience)

4.__________________________________________________________________________________
(Employer, Supervisor Or Another Person Who Knows Your Work, i.e. Student, Employee, Parishioner, etc., In A Significant Work Experience, Including Volunteer/Community Work)

5.__________________________________________________________________________________
(Professional Associate Or Co-Worker)

6.__________________________________________________________________________________
(Good Friend)

AUTOBIOGRAPHICAL STATEMENT

Write a clear and direct story of your life. Be sure to include the persons and events which you believe to have been of greatest signficance of your devlopmet. (Please limit your statement to no more than 2 typewritten pages.)

I certify that I have personally prepared this Personnel Information Form and that the information I have provided is true to the best of my knowledge.

Signature:________________________________________ Date:____________________

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