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Preliminary Questionnaire

This is for viewing only, and cannot be filled in on-line.
Husband and wife, please fill out separate forms.
Please read the Questionnaire Introduction before completing the questionnaire.

If you would like to complete a questionnaire, please follow the instructions to download the Word version, fill it in and mail to:

Wycliffe Africa
P.O. Box 44456
00100 Nairobi, Kenya
Phone: 254-20-272-4744 or 254-20-271-8183 ext. 188 (Kenya)

Or e-mail as an attachment to: info_africa@wycliffe.net

Today's Date:      

Your Contact Details

Full name: (First/Middle/Last/Maiden) :      

Preferred Name:      

Mailing Address:      

E-Mail:      

Home phone:   

Would you like us to phone you?

Work phone:      

Are you 18 years of age or older? Yes No

Work Interest

Evaluating your education, training, and experience, in what areas do you feel you can make the best contribution to Wycliffe? How much time do you think you can give? If you know, include when you may be available and the country where you might like to serve.

Education and Experience

What education and work experience do you have?      

What is your present occupation?  (If you have a CV or resume, please include it or attach it.)

What languages do you speak? (indicate fluency)

Christian Life

How long have you been a Christian?

Are you a member of a church? If so which one?      

Pastor's Name and phone/email:      

Describe your involvement in your local church or other ministry.  

Have you received any Bible training?

I have read What Wycliffe Believes (on the Questionnaire Introduction), and I agree with it as affirming my own beliefs. Yes No

Family and Health

What is your marital status? Single Engaged Married Widowed

Name of spouse or fiancée:       Wedding Date:      

Children (Include full names and ages):

Please add any further information or comments which you think would be helpful for us to know, for example, family or health considerations, previous experience working in other countries, etc.

Thank you for taking time to complete this questionnaire. We will be in touch with your shortly.

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Revised 9/06