Full Application Form

Application (Full)

11 of 9 (General Info)

22 of 9 (Family Info)

33 of 9 (Children and Emergency Contact)

44 of 9 (Ministry with SIM)

55 of 9 (Faith and Practice)

66 of 9 (Experience)

77 of 9 (Education/Other Training)

88 of 9 (Christian Convictions)

9Page 9 of 9 (Application Fee)

Welcome
At SIM, our vision is to see a witness to Christ's love where He is least known, disciples of Jesus expressing God's love in their communities, and Christ-centered churches among all peoples! Thank you for your desire to serve Jesus in missions, and we look forward to seeing how God will lead both you and us through this continuing journey, with much discernment and wisdom!
INSTRUCTIONS
- Please note that if you're married, you and your spouse must complete separate applications
- After completing and submitting your application form, you will be given instructions for a police background check and will be asked to complete health and psychosocial screening questionnaires, psychological assessments, and a doctrinal assessment

This application fee will be applied toward the cost of processing your application, including a Police Check by Sterling ($35) and an IHM Initial Medical Report ($120). This fee is non-refundable and non-receiptable (for income tax purposes).
Submission of Form
By submitting this form, you:
- Agree to the SIM Statement of Faith and other attached SIM policies, and that you will accept their provisions and requirements and agree to live and serve in accordance with them.
- Give consent that the information in this Application Form and the Initial Medical Report may be shared with SIM personnel who are involved in the selection and placement process. Only relevant information will be shared as needed.
- Agree to cover any other expenses that have been incurred during the application process, should you choose to withdraw before departure to your assignment.

This application will be handled professionally and kept confidential. View our Privacy Policy and our Statement of Faith.
GENERAL INFORMATION
PLEASE NOTE: some information is duplicated from the pre-application. Please complete all questions on this application. Thank you for your patience and understanding in this matter.
Legal Name*
First Middle Last
Preferred Name
First Last
Maiden Name
Last
Gender*
- Male
- Female
Birth Date*
MM slash DD slash YYYY
Birth Place*
City State / Province / Region Country
Curent Address
Street Address Address Line 2 City Province Postal Code
Mailing Address (if different)
Street Address Address Line 2 City Province Postal Code
Future Address (if applicable)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Cell Phone
Work Phone
Email 1*
Email 2

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EXPERIENCE
Are you currently retired?*
- Yes
- No
Work Experiences
Please list your top 3 significant work experience since high school, beginning with the most recent.
Work Experience #1
Type of Work?*
Type of Work?
Where?*
Where?
From When to When? (mm/yyyy)*
From When to When? (mm/yyyy)
Reason(s) for leaving*
Reason(s) for leaving
Work Experience #2
Type of Work?
Type of Work?
Where?
Where?
From When to When? (mm/yyyy)
From When to When? (mm/yyyy)
Reason(s) for leaving
Reason(s) for leaving
Work Experience #3
Type of Work?
Type of Work?
Where?
Where?
From When to When? (mm/yyyy)
From When to When? (mm/yyyy)
Reason(s) for leaving
Reason(s) for leaving
Ministry Experiences
Please give a brief history of your ministry experience. We'd like to know where and how you served and how you felt about it.
Ministry Experience #1
Type of Ministry?*
Type of Ministry?
Where?*
Where?
From When to When? (mm/yyyy)*
From When to When? (mm/yyyy)
Degree of Satisfaction?*
Degree of Satisfaction?
Ministry Experience #2
Type of Ministry?
Type of Ministry?
Where?
Where?
From When to When? (mm/yyyy)
From When to When? (mm/yyyy)
Degree of Satisfaction?
Degree of Satisfaction?
Ministry Experience #3
Type of Ministry?
Type of Ministry?
Where?
Where?
From When to When? (mm/yyyy)
From When to When? (mm/yyyy)
Degree of Satisfaction?
Degree of Satisfaction?
Civic Volunteer / Community Service Experiences
Please give a brief history of your civic experiences. We'd like to know where and how you served and how you felt about it.
Volunteer Experience #1
Type of Service?*
Type of Service?
Where?*
Where?
From When to When? (mm/yyyy)*
From When to When? (mm/yyyy)
Degree of Satisfaction?*
Degree of Satisfaction?
Volunteer Experience #2
Type of Service?
Type of Service?
Where?
Where?
From When to When? (mm/yyyy)
From When to When? (mm/yyyy)
Degree of Satisfaction?
Degree of Satisfaction?
Volunteer Experience #3
Type of Service?
Type of Service?
Where?
Where?
From When to When? (mm/yyyy)
From When to When? (mm/yyyy)
Degree of Satisfaction?
Degree of Satisfaction?
Cross-cultural experiences (in addition to the above)
Experience #1
Type of Experience?
Type of Experience?
Where?
Where?
From When to When? (mm/yyyy)
From When to When? (mm/yyyy)
Degree of Satisfaction?
Degree of Satisfaction?
Experience #1
Type of Experience?
Type of Experience?
Where?
Where?
From When to When? (mm/yyyy)
From When to When? (mm/yyyy)
Degree of Satisfaction?
Degree of Satisfaction?
Experience #2
Type of Experience?
Type of Experience?
Where?
Where?
From When to When? (mm/yyyy)
From When to When? (mm/yyyy)
Degree of Satisfaction?
Degree of Satisfaction?
Experience #3
Type of Experience?
Type of Experience?
Where?
Where?
From When to When? (mm/yyyy)
From When to When? (mm/yyyy)
Degree of Satisfaction?
Degree of Satisfaction?

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EDUCATION/TRAINING
Please tell us about your post-high-school educational background. Include the Grad Date only if you have graduated, unless you're currently in school and anticipate graduating in the next two years.
School #1
School*
School
Major/Specialist*
Major/Specialist
From When to When? (mm/yyyy)*
From When to When? (mm/yyyy)
Graduation Date*
Graduation Date
Degree*
Degree
School #2
School
School
Major/Specialist
Major/Specialist
From When to When? (mm/yyyy)
From When to When? (mm/yyyy)
Graduation Date
Graduation Date
Degree
Degree
School #3
School
School
Major/Specialist
Major/Specialist
From When to When? (mm/yyyy)
From When to When? (mm/yyyy)
Graduation Date
Graduation Date
Degree
Degree
Other Training and Experiences
List Bible courses (or submit copy of transcript), missions courses, or other Bible training not covered above (ex. Perspectives, Alpha, Kairos)
What language(s) do you know or have you studied?
Language #1:
Ability: Acquainted? Conversant? Fluent?
Ability: Acquainted? Conversant? Fluent?
Language #2
Language #2
Ability: Acquainted? Conversant? Fluent?
Ability: Acquainted? Conversant? Fluent?
Other languages? Please write them here and the level of ability.
What other skills do you have? What other kind(s) of training have you had?
Medical personnel, see below for the section on medical qualifications
What professional certification(s) do you hold?
What are your hobbies or other interests?*
What book(s) have you read in the past year? Favourites?*
What periodicals (magazines, journals, newspapers, newsletters, etc) do you read regularly?*
FOR MEDICAL PERSONNEL ONLY
Medical License/Registration Number:
Date
MM slash DD slash YYYY
When did/do you complete your residency?
MM slash DD slash YYYY
What is your specialty or area of interest?
What board qualifications do you hold?
Date
MM slash DD slash YYYY
What is your present practice?
Beginning Date
MM slash DD slash YYYY
To what professional organization(s) do you belong?

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Full Application Form

Application (Full)

Welcome

INSTRUCTIONS

Submission of Form

GENERAL INFORMATION

FAMILY INFORMATION

Children (if applicable)

Please Note:

Emergency Contact

MINISTRY WITH SIM

Please Note:

FAITH AND PRACTICE

EXPERIENCE

Work Experiences

Work Experience #1

Work Experience #2

Work Experience #3

Ministry Experiences

Ministry Experience #1

Ministry Experience #2

Ministry Experience #3

Civic Volunteer / Community Service Experiences

Volunteer Experience #1

Volunteer Experience #2

Volunteer Experience #3

Cross-cultural experiences (in addition to the above)

Experience #1

Experience #1

Experience #2

Experience #3

EDUCATION/TRAINING

School #1

School #2

School #3

Other Training and Experiences

FOR MEDICAL PERSONNEL ONLY

CHRISTIAN CONVICTIONS

EXTRA SPACE