Short-Term Missionary Application
Single Person

Macedonia World Baptist Missions, Inc.
PO Box 519, Braselton, GA 30517
Phone: 706.654.2818   Fax: 706.654.2816

Please upload a recent photo:

Personal History
Last Name                  First              Middle
Date of Birth:     Place of Birth:  
Address                             City              State      Zip
Passport #   
Home Phone:    Cell Phone:    Email: 
Nearest of kin (for emergency)    Relation:
Phone Number:
Have you ever been divorced? Yes    No
Physical Data
Excellent   Good   Fair   Poor   Weight:   Height: Eye Color: 

List any serious illnesses, operations, accidents, or nervous disorders that you have/have had in the last five years.

Name of Health Insurance Provider and Policy Number:

Christian Service

Church Membership:
Address include city and state:  
Phone:    Church Email:
Pastor's Name:   Pastor's Email:

Pastor's Address:   Phone:


Mark completed years:
High School 1 2 3 4   College/Bible Institute 1 2 3 Post Graduate Degree
Schools Attended:
College, Bible Institute, or Vocational School
Name & Address:
Degree Earned and Year:

Graduate School
Name & Address:
Degree Earned and Year:

List any languages you have learned:

Statement of Salvation and Call to the Mission Field
Please list the type of ministry and the country to which God has called you.
Have you read the policies and procedures of Macedonia World Baptist Missions, Inc.?  (Available Here)  Yes   No
Are you in agreement with these policies? Yes  No
Have you applied with any other Mission Board?  Yes  No  
If yes, please give name of Board. 

References:  Please list two references, other than your Pastor.
Name:   Email:
Full Address:
Name:   Email:
Full Address:
The completion or acceptance of this missionary application is strictly for the purpose of Macedonia's records and does not, in any way, create or establish an employer/employee or contractual relationship between Macedonia and independent missionaries affiliated with Macedonia for the sole purpose of facilitating contributions received on behalf of the independent missionary.
My name below serves as my signature on this document.
Applicant's Name:   Date:

Your email address: You will receive a copy of this form.