HIN & WAY

1. Personal data

Surname, First Name:

Street number:

PLZ, Place:

State (if Germany then federal state):

Telephone, mobile phone:

Your email address

Date and place of birth:

marital status:

Nationality(s):

2a. Hobbies, interests:

2b. Language skills

2c. Special skills

3. I would like to do an assignment / internship in one of the fields of work of the Marburg Mission.

Desire country: (multiple selection possible)
JapanThailandTaiwanUSA

Possible time of use:

Desired areas of activity: (multiple selection possible)
EvangelismMunicipal buildingSocial projectsWorking with childrenHandicraftSchool

My motivation for cooperation:

My wishes and goals for this mission:

My future plans after my assignment abroad:

4. Spiritual home

Confession / belonging to a community or community:

I work actively in my community as:

The following employees from the community / youth group can request the Marburg Mission for a reference about me. These persons have agreed to such a request.
stood. Please specify two people (with address) who are not family members:

I acknowledge that my personal data will be stored and processed electronically for the processing of my application and in the event of an assignment. They can be forwarded encrypted by e-mail to eligible deployment sites. If they do not do so, they will
documents destroyed after a retention period of six months.

Please attach the following documents to the application form:
• Photo


• Tabular CV


• Letter of motivation