10/40 MTI ApplicationUpload a picture of yourself: *Choose FileNo file chosenDelete uploaded filePlease use a recent head and shoulders photo. Passport style is recommended.Personal Information:PrefixMr.Mrs.Ms.Mx.MissDr.Prof.First Name *Middle NameLast Name *Preferred Name:English Name?Email: *[email protected]Gender: *MaleFemaleAre you an adult over the age of 18? *YesNoAge: *Birthdate: *MonthSelect month123456789101112DaySelect day12345678910111213141516171819202122232425262728293031YearSelect Year20502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950Country of Citizenship: *Ex. Eritrea, Somalia, etc.Do you have a current Passport? *YesNoYou must have a valid Passport to attend the MTI in Uganda.Mailing Address *Street Address or PO BoxStreet Address Line 2/Apt or Suite #CityState/ProvinceZIP / Postal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweCountry/NationMobile Phone Number: *Second Phone Number (if Applicable):Copy and Paste Your Facebook Link: *If not one, please fill in NA.Instagram @: *If you dont have an Instagram, please fill in NACopy and Paste Your Website Link:If not one, leave blankMarital Status: *SingleEngagedMarriedSeparatedDivorcedWidowedPlease select one.Fiancé/Spouse's Full Name: *First NameLast NameFiancé/Spouse's Phone Number *Has your Fiancé/Spouse accepted Jesus Christ as their personal Lord and Savior? *YesNoWhat is the age of your Fiancé/Spouse?? *If married, is your Spouse in favor of you attending the MTI Classes? *YesNoDo you have any children? *YesNoHow many children do you have? *Personal History:Have you accepted Jesus Christ as your personal Lord and Savior? *YesNoHow old were you? *Have you received the baptism of the Holy Spirit (with the evidence of speaking in tongues)? *YesNoHow did you hear about the Missionary Training Institute in Uganda? *Praise Ministries Int'l/David & Shonda TompkinsGWFCM/Apostle Samuel MuyanjaBusia Miracle Center MinistriesChurchWebsiteFacebookInstagramOtherOther Option: *Have you ever traveled on a mission's trip outside of your country before? *YesNoPlease individually list the countries you have visited and the year you were there. *ex: United States-2019, Uganda-2023,Please list the Organization/Ministry you went with. *ex: Victory Church, Go Win for Christ Mission, etc.Have you personally preached or shared the Gospel of Jesus with someone before? *YesNoName of your Home Church *Ex. Victory Church, Busia Miracle Center, etcWhat Denomination is your church? *ex. Non-Denominational, Pentecostal, etc.How long have you attended your church? *Ex. 2 yearsPastor's Full Name: *First NameLast NamePastor's Email AddressChurch Address *Street AddressStreet Address Line 2/AptCityState/ProvinceZIP / Postal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweCountryHave you ever used or been involved with the following? *AlchoholDrugsGamblingEating DisordersHomosexualitySexual Promiscuity or ImmoralityArrested by Law EnforcementNone of the AboveIf you checked any of the boxes above, please leave a short explanation of the issue and how long ago it occurred: *If you selected "None of the Above", please type NA.School, Employment, and Volunteer History:Please list your High School, city/town, region and country you attended, and year you graduated: *Complete to the best of your abilityDid you attend College or University? *YesNoPlease list your College, Diploma received, City/Region, Country and Year you graduated: *Complete to the best of your abilityAre you currently employed? *YesNoCurrent Occupation: *Employer/Company Name: *Work Phone Number: *Supervisor's Name *First NameLast NameHow long have you worked there? *May we contact your employer? *YesNoIn No is your answer, why? *Have you volunteered at a church or ministry before? *YesNoWith what church or organization? *When did you volunteer and what did you do? *Have you ever personally led someone to Christ? *YesNoHave you ever personally helped someone receive the Holy Spirit? *YesNoMedical History and Emergency Contact:Give us a brief statement describing your general health: *Have you been diagnosed with any medical illness? *YesNoIf yes, please explain: *Are you presently taking prescriptions of any kind? *YesNoIf yes, please list them here: *Do you have any physical conditions, mental illness, weakness, or chronic diseases that could interfere with your performance at the MTI? *YesNoIf yes, please explain: *Emergency Contact's Full Name: *First NameLast NameEmergency Contact's Email AddressEmergency Contact's Phone Number: *Emergency Contact's Address: *Street AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweCountryMTI AccommodationsAre you willing to move to Busia Uganda to attend the Missionary Training Institue? *YesNoAre you willing to room with another MTI student of the same gender? *YesNoTenets of Faith:I believe in the virgin birth and deity of our Lord Jesus Christ. *YesNoI believe that Jesus, God's only Son, was born in the flesh, and is the only sacrifice for sin. *YesNoI believe in an eternal reward for the believer (Heaven). *YesNoI believe that man must be born again to receive eternal life. *YesNoI believe in eternal damnation for the lost (hell). *YesNoI believe in the infallibility of the Scriptures. *YesNoI believe that divine healing is part of redemption's purchase and is God's will for all who believe. *YesNoI believe that Jesus arose bodily from the dead. *YesNoI believe in the infilling of the Holy Spirit (baptism of the Holy Spirit). *YesNoI believe that speaking in tongues is the initial physical evidence of the baptism of the Holy Spirit. *YesNoQualifications for ALL 10/40 MTI Students:Praise Ministries Int'l (PMI), the Busia Miracle Center (BMC) and Go Win for Christ Mission (GWFCM) holds high, Godly standards and as a part of the 10/40 Missionary Training Institute, you will also be required to live by these standards. We believe that as a Christian leader in the body of Christ, we must abstain from any substance abuse that will taint our witness for others. Please share in your own words why you would agree or disagree with this statement. *Praise Ministries Int'l is a ministry of excellence. Anyone who is a part of PMI, BMC, or GWFCM and our MTI is required to be an example of faith, conduct, and business affairs. Therefore, anyone who is a part of the 10/40 MTI is expected to abide by what is expected. *Type your initials in the box.References:Please list references for each of the following.2nd Ministerial Reference Other Than Your Pastor: *First NameLast NameEmail AddressHow long have you known them? *Phone Number *Non-Family Personal Relationship: *First NameLast NameRelation: *Ex. Friend, Co-Worker, etcHow long have you known them? *Email AddressEx. [email protected]Phone Number *Required Essay UploadPlease upload a PDF copy of the required essay as found on the Application Page in the box below: *Choose FileNo file chosenDelete uploaded fileAgree and Press Submit:By clicking submit, I agree that I have answered all questions in this application honestly. I have read the qualifications fully and I agree to their terms. *I AgreeI Do Not AgreeI have read the qualifications, and I am in full agreement with them. I agree to keep them to the very best of my ability. I clearly understand that failure to keep any of the above requirements is grounds for my being asked to step down from the 10/40 MTI. I state that all the above information that I have given is true to the best of my knowledge.SubmitSave as DraftPlease do not fill in this field.