Application for Admission 2

    Personal Data

    FAMILY NAME:

    MOTHER'S LAST NAME:

    NAME(S):

    AGE:

    BIRTHDATE:

    PLACE OF BIRTH:

    SEX:

    PHONE OR FAX:

    APPLICATION DATE:

    Schedule:

    Personal and Family Data

    CURRENT OR LAST OCCUPATION:

    SKILLS OR JOBS YOU HAVE PERFORMED:

    MARITAL STATUS:

    HOW MANY CHILDREN DO YOU HAVE?

    BOYS/GIRLS - Ages:

    0-11-33-1011 or more

    WHAT PLANS DO YOU HAVE WITH THEM WHILE ATTENDING CMS?

    HOW MANY PEOPLE DEPEND ON YOU? HOW DO YOU PLAN TO MEET THESE OBLIGATIONS?

    Address

    STREET No / COLONY:

    CITY:

    STATE:

    COUNTRY:

    Emergency Contact

    Reference 1

    NAME:

    ADDRESS:

    PLACE:

    PHONE:

    RELATIONSHIP:

    Reference 2

    NAME:

    ADDRESS:

    PLACE:

    PHONE:

    RELATIONSHIP:

    Christian Affiliation

    7TH-DAY ADVENTIST?

    DATE OF BAPTISM:

    CHURCH:

    DISTRICT:

    PASTOR'S NAME:

    PASTOR'S DISTRICT:

    PASTOR'S PHONE:

    Studies and References

    STUDIES CARRIED OUT:

    If you select PROFESSIONAL, specify:

    Name some people who are or were at CMS that you know:

    Personal Questions

    13. When did you fully accept Christ as your personal Savior and surrender your life to Him?

    14. Explain in your own words what Jesus means to you:

    15. Briefly describe how you consider your past life:

    16. What motivated you to apply as a CMS student?

    17. What role does the Bible play in your life? What do the Scriptures mean to you and how do you use them?

    18. What do you understand by conversion?

    19. Did your conversion experience change your daily lifestyle? (Diet, music, clothing, makeup, social relationships, recreation, education)

    Specify:

    20. Which Spirit of Prophecy books have you read completely?

    21. What evangelistic activities do you enjoy participating in?

    22. In what church positions have you served?

    23. What do you hope to gain from your time and experience at CMS?

    24. What are your long-term goals?

    Medical History

    F. Medical history – Check the illnesses you have suffered from:

    B. Usual recreational activities:

    C. Do you watch television?

    Hours per week:

    Q. Do you exercise? What type and frequency?

    E. Do you take any medicines or supplements?

    Medication 1 – Dose – Duration:



    Medication 2 – Dose – Duration:



    Medication 3 – Dose – Duration:



    Additional Questions

    25. Do you agree with the preparation offered by the CMS in the seminar for Self-Supporting Health Missionaries?

    26. When are you planning to come? (January, April, July, or October)

    27. Do you understand that there is a cost for tuition, lodging and food?

    28. What plan do you plan to use to finance the cost of this course?

    Health Section

    30. Have you ever been denied employment due to a physical illness?

    Type of disease:

    31. List any physical conditions that may limit your ability to work and study effectively:

    Forms of Notification

    Phone:

    Fax:

    Address:

    Email:

    Attachments and Signature

    Include a recent photo (jpg or png, max. 2 MB):

    I have prayerfully answered the above questions and am in harmony with the principles presented.

    Name and Signature:

    Date:

    Arrival Date:

    Suggested Departure Date:

    Address:

    City:

    State:

    Country:

    CP:

    Tel/Fax:

    In case of emergency, please notify:

    Relationship:

    Tel/Fax:

    Address:

    Pastoral Reference Letter

    Dear Pastor,

    The aforementioned brother has applied for admission to the Missionary Health Center (CMS). We request an honest and sincere reference. The information will be kept confidential.

    1. How long have you known the applicant and in what condition?

    2. What do you consider to be the most marked abilities or values in your brother/sister?

    3. Is there any area in your sibling's life where you need special advice or help?

    4. Comments:

    Assessment

    A. Temperament:

    B. Spirituality:

    C. Attitude to service:

    D. Industriousness:

    E. Judgment:

    F. Relationship with the Adventist Church:

    G. Relationship to inspired counsel:

    H. Acceptance of the Pro-Health Reform:

    I. Honesty:

    J. Intellect:

    K. Leadership skills:

    L. Stability:

    M. Ability to work with others:

    N. Attitude towards authority:

    O. Performance in CMS (worker/student):

    5. To be part of CMS the brother/sister is recommended:

    6. I, familiar with the principles and regulations that characterize the life of CMS.

    Pastoral Data

    Name:

    Post:

    District:

    Date:

    Zip code:

    Address:

    City:

    State:

    Country:

    Tel/Fax: