L U Global - LU Abroad Preliminary Information Form -

VOIP Type (Internet voice chatting such as Skype, MSN, Yahoo, etc.):

VOIP Contact Name (your username):

If you have a spouse who will fill out a seperate Preliminary Information Form please enter their name:

If you have a fiance who will fill out a seperate Preliminary Information Form please enter their name:

If you're engaged, what is your anticipated wedding date? (optional)

Guided by biblical principles, Some agencies consider on a case-by-case basis candidates who have been divorced or divorced and remarried.
Please check either that applies:

To which group of people do you sense God leading you?

Other People Group (leave blank if none):

Please list the countries in which you are interested:

What type of future ministry might you be most creative and effective in?

Anticipated Date of Internship:

If you know a mission agency that you would like to work with please enter their name:

Have you applied and/or worked short-term or long-term with any other agency? If so, what agency?

I am seeking ICST 499 internship for at least 8 weeks (3 credit hours).

I am seeking ICST 499 internship for at least 16 weeks (6 credit hours).

If you are seeking 499 Internship credit for your major, please specify which class:

If you are not seeking internship credit and just want to spend time overseas, please specify the length of time:

Please list all post high school education starting with most recent:

Current Year in School:

Anticipated Date of Graduation:

Do you hold any certifications or licensures? (Teacher, TESL, Nurse, Physician, Pastor, Tent making/Vocational Skills, etc):

Seminars (Perspectives, etc.):

Anticipated number of accredited semester hours in Bible and Theology:

Anticipated number of non-accredited semester hours in Bible and Theology:

What is your first language?

Other fluent languages spoken (rate your ability 1-5, with 1 being low and 5 fluent):

What is the name of the church that will most likely be your sending church?

If yes, how long have you been a member?

May we contact your pastor?

What kind of interaction have you had (if any) with your pastor and/or missions committee about your interest in missions?

How would you describe your church background?

If other, please specify:

Please tell us how you came to know Jesus as your Savior and Lord:

When were you baptized?

How have you been involved in ministry through your local church, campus ministry or other Christian organizations?

What experiences have you had which exposed you to other cultures, ethnic groups or languages?

What are your spiritual gifts?

Please read the Liberty University Doctrinal Statement: Click Here

Do you find yourself in agreement with the Liberty University Doctrinal Statement?

Do you believe that the original manuscripts of Scripture are inspired by God and without error?

Can a truly saved person lose his or her salvation?

Do you believe in the pre-millennial return of Christ?

When should someone be baptized?

How many books of the Old Testament have you read?

How many books of the New Testament have you read?

I certify that all information that has been submitted in this form is both accurate and complete. I understand that I will need to be accepted by the mission agency that I choose to serve with and I give permission to such agency to release a copy of this form and proof of acceptance to Liberty University.

By typing your name in this box, you are signing this form and verifying that it's contents are completely accurate to the best of your knowledge:

Today's Date:

Take a moment to double check your answers on this form. Your answers are not saved by the browser and you will not be able to change your answers after you press the submit button. If you need to change any information on your form after you submit, contact LU Abroad using the Contact Us link available on the LU Abroad menu.