APPLICATION FORM

MIDDLE-AGE FULL-TIME TRAINING IN ANAHEIM

安那翰全時間訓練壯年班申請表

Spring 2002春季                                                                              Date日期 :_________

PLEASE PRINT NEATLY & THOROUGHLY IN DETAIL  請清楚並詳細填寫以下資料:

Name: ___________________________________________     [   ]Bro弟兄   [   ]Sis姊妹    Birth Date:____/____/_____

Last姓                         First名                             M.I.                                                                              生    日         mm 月  dd 日      yy年

中文姓名:  _________________________________________           Age 年齡: _______________

Address:  _________________________________________           Home Phone家中電話: (        )  ____________________

地  址    _________________________________________                             Fax  傳真:  (        )  ____________________

_________________________________________           Work Phone公司電話:  (        )  ____________________

Sending Locality: _________________________________    E-mail電子郵址:  _______________________________        

召會                         City城 市                                Country 國 家

Nationality國籍: __________________________________        Language(s) Spoken語言: __________________________

Education學歷: ____________________________________________________________________________________________                                                                                 School  學 校                                           Major  主 修                                           Degree  學 位

 

Occupation職業: _________________________   If full-time serving, date began開始全時間服事之日期: ______________

Will you bring a car自備車輛?  [  ]Yes是  [  ]No否 ---  If Yes, how many occupants will it hold若有車，可載幾人? _______

 

Date Saved得救日期: ________   Date Baptized受浸日期: ________   Date you came to the Church進召會日期: ________

Locality where you first contacted the church首次接觸的召會: _______________________________________________

Areas of church service you have been involved in已過參與的召會服事: ________________________________________

_______________________________________________________________________________________________

Past trainings in Taipei, Irving or Anaheim參加過在台北、歐文或或安那翰的訓練: _________________________________

 

Marital status婚姻現況:     [  ] Single單身     [  ] Married已婚     [  ] Engaged訂婚     [  ] Divorced / Separated離婚 / 分居

Spouse’s Name配偶姓名: __________________________      Spouse’s Age配偶年齡: _______________

Date of Marriage結婚日期: _________________________          Spouse’s Occupation配偶職業: ___________________

Spouse’s attitude toward your being full-time配偶對你全時間的態度:  [  ] Agree同意            [  ] Disagree不同意

                                                                                                                                   [  ] Also burdened to be full-time也有負擔一同全時間

Dependents子女:

Name名 字                                 Relationship關 係                       Age年 齡                                  Saved 得 救

1._____________________________________________________________________________   [  ] Y是   [  ] N否

2._____________________________________________________________________________   [  ] Y是   [  ] N否

3._____________________________________________________________________________   [  ] Y是   [  ] N否

4._____________________________________________________________________________   [  ] Y是   [  ] N否

Do you have medical insurance醫藥保險?  [  ]Yes有  [  ]No否  If yes, insurance provider保險公司: ___________________

 

You will be supported by財物供給:  [  ]Yourself自費  [  ]Church召會  [  ]Family or Friends親友  [  ]Other means其他 ____

Other pertinent information其他相關資料: ________________________________________________________________

_________________________________________________________________________________________________

 

Applicant’s Signature申請人簽名: ________________________________________   Date日期: ______________________

After reading the letter of instructions sent to your elders, please submit this form to them for their recommendation, endorsement, and mailing. 讀過所有說明書後，請填妥此申請表，轉交當地長老，由他們填寫以下推薦、贊助信，並請當地長老寄回本訓練中心。