Reference Form - Breathe Partners

Position Applying For:*

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Facebook

Twitter

Instagram

Social Security Number*

Date of Birth*

Current Employer*

Past Employer

High School/Years Completed*

College/Years Completed*

High School/Years Completed*

Areas of interest and ability: (do you speak French or Creole?)

Do you have any other certifications or credentials? Please List:

Experience in working with people in a leadership role and as part of a team:

Experience in Communication and Using Internet and Computer Technology:

Experience with Cross Cultural Organizations or with other cultures:

Why do you wish to be a participant in the School of Ministry program?:*

Describe Your Salvation Experience:*

Describe How You Experience God and How You Grow in Christ:*

Describe Your Understanding of the Local Church and Its Role in Global Missions:*

What Is Your Experience in Missions - Locally and Globally:*

Share Your Heart on “COMPASSION MINISTRIES”:*

Comment on Personal Characteristics: (1. Physical and Emotional Health 2. Self-Image 3. Achievement 4. Work Habits 5. Social 6. Leadership 7. Teachability)*

What do you consider to be your strong points and special abilities?*

What do you consider to be the areas in which you still need to grow?*

Blessing and Calling: Do you sense God’s Calling to Long Term Mission? Do you have your family and churches blessing?*

Are you ready to trust God and His provision in raising Missionary Support?*

What concerns do you have as it pertains to the prospect of moving to Haiti?*

What books other than the Bible have influenced you the most:*

References

Please have two references fill out our Reference Form online.

Reference Name*

Relationship to you*

Email

Reference Name*

Relationship to you*

Email

Agreement

Applicant -- Please certify that: I will participate in all Breathe Partners Leadership Training Sessions required by Breathe Partners. I will abide by and uphold the Breathe Partners Guidelines, Beliefs and Ministry Team Agreement. I have no criminal convictions or history of mental illness, violent behavior, child abuse, drug/alcohol abuse, prejudice etc that would disqualify me from participation in Breathe Partners Mission endeavors. I agree to a police record check if required by Breathe Partners. I consent to the personal data in this Application Form being used by Breathe Partners to process this application. All the information on this application is correct and accurate.

Signature*

Compassion Corp Reference Form

References

Agreement