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Haggai International Application Form V8 (1)

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amanuel.teshale.10
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104 views2 pages

Haggai International Application Form V8 (1)

Uploaded by

amanuel.teshale.10
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Presented to:_______________________________ By:__________________________________

Date:_____________________________________ Ref#:________________________________
(to be given by the office)

HAGGAI LEADER EXPERIENCE (HLE) Confidential

Information Sheet on Prospective Participant


Have you previously applied to this Haggai International?____ If “Yes,” specify year:______ What was the result?_______
Have you been to the USA before?_______ If “Yes,” do you have a valid US Visa?________ Date of Expiry:_______
Do you have dual citizenship or PR status other than your country of residence?____If "Yes," where?____________
Your Height in _____cm Your body weight in _____ (kg) Your blood pressure: Systolic_____ Diastolic________
Note: Please print clearly in BLOCK letters. o Male o Female Birthdate________________
Day/Month/Year
Title (e.g. Mr., Mrs., Dr., Prof., other):___________________

Name as in Passport:______________________________________________________________________________
Name for Correspondence: Session Language:
o Mandarin
______________________________ _________________________ _______________________ o English
First Name Middle Name Last Name
o Arabic
Mailing Address: _________________________________________________________________________________

_______________________________________________________________________________________________

________________________________________________________________ Postal Code:____________________

_____________________________ ______________________________ _________________________________


City State/Province Country
Name of Spouse:
# of Children:
_____________________________ __________________________ ________________________ __________
First Name Middle Name Last Name

Has your spouse previously applied to HLE?_____ If “Yes,” specify year:_____ What was the result?______
Spouse' Applicant Reference #:________________

Telephone (Home):_____________________________________________
Session Preference in order by Mo./Yr.:
Country Code City Code Number
Telephone (Office):_____________________________________________ 1)____________________________
Country Code City Code Number
Facsimile (Fax): ______________________________________________ 2)____________________________
Country Code City Code Number
Mobile Phone: ______________________________________________ Nationality:_______________________
Country Code City Code Number

E-mail: _________________________________________________________________________________________
VOCATION
¨Agriculture ¨Government, Military ¨Retailing, Marketing, Advertising
¨Builder, Developer, Real Estate ¨Journalism, News ¨Shipping, Transportation, Travel
¨Business, Trade ¨Media, Communications, Entertainment ¨Law
¨Engineering, Architecture ¨Medicine ¨Politics
¨Education ¨Pastoral, Christian Worker, Missionary ¨Other
Present Position (Please do not use abbreviations, unexplained acronyms, etc.):_________________________________________
_______________________________________________________________________________________________
Name and Address of Company/Institution/Organisation:_________________________________________________
_______________________________________________________________________________________________
Annual turnover/Budget of Company/Institution/Organisation:_____________________________________________
Number of staff report to you:__________
EDUCATION**
Details of Degree/Diploma Awarded by Dates Attended
(Give name of Institution & City)

________________________ ________________________________ ______________


________________________ ________________________________ ______________
________________________ ________________________________ ______________

Proficiency in English Very Well Well Fair With Difficulty


Verbal ________ ________ ________ ________

Written ________ ________ ________ ________

EXPERIENCE & TRAINING


Give details of previous significant Positions, Publications, or Honours (with dates)**
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Denomination (e.g. Baptist):________________________________________________________

Church Affiliation:__________________________________ Pastor:________________________

Address:__________________________________________ Phone:________________________

Describe your involvement in Christian work:___________________________________________


_______________________________________________________________________________
_______________________________________________________________________________
PAYMENT COMMITMENT
Every participant is required to make a minimum contribution of US $1,000
toward his or her training for the 25 day Haggai Leader Experience (HLE),
and US $1,100 toward the 15 day Accelerated Haggai Leader Experience (AHLE).
We would, however, encourage you to make a higher contribution if possible.
I intend to attend a 25 day HLE and agree to contribute to Haggai International:
¨US $1,000 ¨US $1,500 ¨Other: $___________
I intend to attend a 15 day AHLE and agree to contribute to Haggai International:
¨US $1,100 ¨US $1,500 ¨Other: $___________
I will also pay my own airfare to the Haggai International HLE/AHLE: ¨Yes ¨No

International Airport nearest you: _____________________________________________


DECLARATION: With all integrity and honesty, hereby, I declare that I have no plan to
relocate or immigrate to any other country within 3 to 5 years after attending the Haggai Leader
Experience. I agree to abide by this declaration. Agree Disagree
Candidate’s Signature: __________________________________ Date: ______________
Important Note: Return this form to the Haggai Regional Representative or Haggai Leader
from whom you received it, or you can email directly to [email protected]

** Please use separate sheet if necessary

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