Full Name (First, Middle and Last)

Current Address

Email

Phone Number

Gender Male Female

Date of Birth

Current Occupation

When will you be available for service?

How long will you be available for?

Emergency Contact (Name, Phone Number, and Address)

Marital Status Single Engaged Married Widow Divorced

If married or engaged, will he/she accompany you? Yes No

If you are married or engaged, please give the following information about your spouse or fiancé(e): Name, Nationality, Address.

Please list any positions of ministry or business experience.

Please give highest level of education completed, degrees obtained, and area(s) of study.

Religious Interests What influence led you to consider service with the Beauty For Ashes Nepal?

Are you a Christian? Yes No If yes, go to section A, if no go to section B.

– Section A When did you become a Christian? Briefly share your testimony.

Which Church are you a member of? Which denomination are you a part of?

– Section B Describe any other religious interests or affiliations?

Health How is your present health? Excellent Good Fairly Good Below Par

Do you have any medical conditions we should be aware of?

Do you have any allergies, food allergies, or diet restrictions?

How do you respond under pressure or large amounts of stress? Please explain.

Describe your flexibility, ability to handle change and ambiguity, interest in trying new foods, etc.

Individual Assessment List any personality tests that you have taken, e.g. Myers Briggs, DISC Assessment, StrengthFinder, and briefly explain the results:

What is your primary skill set? (Experience with Microsoft excel, professional modeling, professional photography, business, design, etc.)