MISSIONARY PERSONAL SUPPORT APPLICATION

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MISSIONARY PERSONAL SUPPORT APPLICATION Dear Missionary Personal Support Applicant, Thank you for the work you are doing in your community! We are grateful for individuals like you who are spending their lives to make the Kingdom of God tangible to the people around them as they continue to make disciples of Jesus Christ. What you do matters, and we pray the impact you are making will point people to Jesus. Prairie Lakes Church is committed to doing our part as we mobilize people to write a better story in their communities around the world. We know one of the best ways to do this is by partnering with people who are already meeting needs and making a difference for the Kingdom of God. Often times, families and individuals are in need of personal financial support in order to continue taking steps in their ministry. This application offers you the chance to introduce yourself and your ministry to the Influence Advisory Committee. We want to be sure to have all the information needed to make the most educated decision in order to be wise stewards of the resources God has entrusted to Prairie Lakes Church. Prairie Lakes Church is offering individuals and families the opportunity to apply for financial support designed to help cover the personal financial costs of doing ministry as a vocation. These funds are not intended to support the ministry or ministry needs. To be considered, complete the Missionary Personal Support Application and mail it to Prairie Lakes Church or email a copy to influence@prairielakeschurch.org. Thank you for taking the time to inform Prairie Lakes Church about the ministry you are doing! Application Directions: Please take your time to honestly and thoroughly answer each question. There are certain questions marked with MALE or FEMALE o Male: these questions are to be answered by the husband o Female: these questions are to be answered by the wife o Single: If you are a single applying, please only fill out the section marked for your gender and disregard the other section. Send any questions to influence@prairielakeschurch.org. God Bless, Influence Advisory Committee Prairie Lakes Church 1907 Viking Road, Cedar Falls, IA 50613 319.266.2655 influence@prairielakeschurch.org

MISSIONARY PERSONAL SUPPORT MALE CONTACT INFORMATION Name DOB Email Ministry Location Gender Phone Male Female Marital Status Married Single Separated Divorced Widowed FEMALE CONTACT INFORMATION Name DOB Email Ministry Location Gender Male Phone Female Marital Status Married Single Separated Divorced Widowed FAMILY INFORMATION Full Name Gender (Age) DOB Wedding Anniversary Date 501(c)3 CONTACT INFORMATION Partner organization you work with or through Agency Name 501(c)3 Number Website Contact Person Title Email Phone

Family Information FAMILY CHURCH AFFILIATION Are you a member of Prairie Lakes Church? Yes, I am a member of PLC. Campus: No, I am not a member, but I attend PLC regularly. Campus: No, I am not a member or regular attendee of PLC. Are you/have you been involved in any of the following at PLC? (check all that apply and explain when) Bible study: Small group: Volunteering: Ministry: (Grove, theriver, etc.) Church home other than PLC? Yes, Church name: FAMILY INVOLVEMENT: Please list all ministries you or your family has been involved with at PLC and describe involvement. Provide general dates when possible. (Bible studies, volunteering, specific ministry) TEAMS FROM PLC Are you open to teams from PLC coming to serve with your ministry? If yes, briefly describe some of the things teams could do : Yes No

Male Experience Information MALE EDUCATIONAL BACKGROUND Please list any schools you have attended (vocational, college, seminary, etc.). School Name School Location Degree(s) Earned Year Graduated School Name School Location Degree(s) Earned Year Graduated School Name School Location Degree(s) Earned Year Graduated MALE EMPLOYMENT BACKGROUND Please list any employment you have had in the space provided (may provide resume if desired, not required). Employer Dates of Employment Responsibilities Reason for Leaving Employer Dates of Employment Responsibilities Reason for Leaving Employer Dates of Employment Responsibilities Reason for Leaving MALE LEADERSHIP BACKGROUND Please list any leadership experiences or positions you ve had in the church. Experiences/Position Dates of Experience Skills Developed Experiences/Position Dates of Experience Skills Developed

Female Experience Information FEMALE EDUCATIONAL BACKGROUND Please list any schools you have attended (vocational, college, seminary, etc.). School Name School Location Degree(s) Earned Year Graduated School Name School Location Degree(s) Earned Year Graduated School Name School Location Degree(s) Earned Year Graduated FEMALE EMPLOYMENT BACKGROUND Please list any employment you have had in the space provided (may provide resume if desired, not required). Employer Dates of Employment Responsibilities Reason for Leaving Employer Dates of Employment Responsibilities Reason for Leaving Employer Dates of Employment Responsibilities Reason for Leaving FEMALE LEADERSHIP BACKGROUND Please list any leadership experiences or positions you ve had in the church. Experiences/Position Dates of Experience Skills Developed Experiences/Position Dates of Experience Skills Developed

Short Answer Questions MALE TESTIMONY Please describe your story. Include the circumstances that led you to become a believer in Jesus Christ and what life has been like since. Be sure to mention major themes God has taught you and how you would describe your current relationship with Christ. FEMALE TESTIMONY Please describe your story. Include the circumstances that led you to become a believer in Jesus Christ and what life has been like since. Be sure to mention major themes God has taught you and how you would describe your current relationship with Christ.

Short Answer Questions Cont. MALE FULL-TIME MINISTRY Please explain why you believe God has called you or is leading you to full-time ministry in a new location. FEMALE FULL-TIME MINISTRY Please explain why you believe God has called you or is leading you to full-time ministry in a new location. MALE INVESTMENT IN NON-BELIEVERS & NATIONALS Please describe any investments you have made with unbelievers and with nationals in the past year. FEMALE INVESTMENT IN NON-BELIEVERS & NATIONALS Please describe any investments you have made with unbelievers and with nationals in the past year.

Short Answer Questions Cont. MALE DISCIPLESHIP Please define discipleship. FEMALE DISCIPLESHIP Please define discipleship. MALE DISCIPLING Please describe how you are currently discipling somebody. FEMALE DISCIPLING Please describe how you are currently discipling somebody.

Ministry Short Answer Questions MINISTRY PURPOSE Please describe the nature and purpose of your ministry (May include vision, mission, implementation strategy, etc.). MINISTRY RELATIONSHIP WITH LOCAL CHURCH Please describe how your intended ministry relates to the local church, specifically in the area of the world you plan to minister in/to. MINISTRY GOALS Please describe your current ministry goals, and state how they will be obtained.

Family Financial Information FUNDING REQUEST Please state your purpose for requesting funds from Prairie Lakes Church. MONTHLY FAMILY BUDGET/EXPENSES Please list you family s average personal expenses below (this does NOT include ministry expenses). Rent/Housing Utilities Personal living expenses (food, groceries, toiletries, clothing, etc.) Insurance Other (savings, giving, etc.) Family transportation Comments FAMILY FINANCIAL NEEDS Please list total FAMILY amounts below (this does NOT include ministry expenses). Total ANNUAL amount needed Amount needed per MONTH Total amount already received or pledged from others (please state if amount given is monthly or annually) MINISTRY FINANCIAL NEEDS Please list total MINISTRY amounts below (this does NOT include family expenses). Total ANNUAL amount needed Amount needed per MONTH Total amount already received or pledged from others (please state if amount given is monthly or annually) ONE-TIME FAMILY FINANCIAL NEEDS Please list any current one-time family needs. (Ex: stroller, car, computer, etc). (This does NOT include ministry expenses.) Item Expense Recurring? Item Expense Recurring? Item Expense Recurring?

Personal Support Team SUPPORT TEAM A support team is responsible for supporting you and your family in the following ways: raising support, logistical needs, prayer, encouragement, on-going communication, etc. Prairie Lakes Church believes this is a vital need for missionaries. Please provide us with the following details about your support team. Do you already have a support team assembled? How many members? How often do you hear from members of your support team? Comments PRIMARY SUPPORT CONTACT INFORMATION Name DOB Email Relationship Gender Male Phone Female SUPPORT GIVEN Please describe the type and nature of support given to you by your support team.

Personal Preparation SPIRITUAL PREPARATION Please list and describe how you are spiritually preparing for your departure to the mission field. FINANCIAL PREPARATION Please list and describe how you are financially preparing for your departure to the mission field. PHYSICAL PREPARATION Please list and describe how you are physically preparing for the unique demands you ll face on the mission field.

References FAMILY REFERENCE ONE Please provide one reference who is in ministry and has observed you in a specific ministry. Please have your reference complete the Missionary Reference Application. Name DOB Email Relationship Gender Male Phone Female MALE REFERENCE TWO Please provide one reference who knows your abilities, strengths and weaknesses. Please have your reference complete Missionary Reference Application. Name DOB Email Relationship Gender Male Phone Female FEMALE REFERENCE TWO Please provide one reference who knows your abilities, strengths and weaknesses. Please have your reference complete the Missionary Reference Application. Name DOB Email Relationship Gender Male Phone Female

Final Details FUNDS GIVEN Please provide information as to how funds should be given if approved. Payable To Memo Line Online Directions FINAL AGREEMENT I have understood and answered the above questions completely and honestly. I am in agreement with the doctrinal beliefs of Prairie Lakes Church (found on prairelakeschurch.org). I commit to using any funds given for my personal family expenses not my ministry expenses. I attest that everything in this application is true and accurate. I commit to notifying Prairie Lakes Church of any change in vocation, belief or need for early termination of funds. Male Signature Title Date Female Signature Title Date Submit to: Influence at Prairie Lakes Church 1907 Viking Road, Cedar Falls, Iowa 50613 FOR OFFICE USE ONLY Application Received (date, person) Notes Approval Explanation if approved: Approved Declined Explanation if declined: