Bahá’í News/Inserts/Issue 407/Pioneer Application Blank/Text
PIONEER APPLICATION BLANK
PLEASE COMPLETE AND RETURN THIS COPY TO THE NATIONAL SPIRITUAL ASSEMBLY 536 Sheridan Road, Wilmette, Illinois
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Name __________________________________________________ Address________________________________________________ City & State____________________________________________ Birth Date ___________________ Race ____________________ Citizenship ____________________________________________ Married_____________________ Single____________________ Dependents: Adults _____________________________________ Minors ______________________________________ |
CHECK AREA DESIRED Caribbean Island Areas ( ) Africa ( ) United States ( ) (State preference of State or general area of the country) ___________________________________________ Other Areas_____________________________________________ ________________________________________________________ When can you leave?_____________________________________ How long can you stay?__________________________________ ________________________________________________________ |
EDUCATIONAL & WORK EXPERIENCE[edit]High School ____________________________________________ College ________________________________________________ Knowledge of language other than English________________ ________________________________________________________ Writing ( ) Speaking ( ) Work Experience_________________________________________ ________________________________________________________ Present Occupation______________________________________ ________________________________________________________ List health problems, present or past:_________________ ________________________________________________________ ________________________________________________________ |
FINANCIAL STATUS[edit]Aid needed (if any)_____________________________________ ________________________________________________________ Financial Reserve ______________________________________
BAHÁ’Í TEACHING AND ADMINISTRATIVE EXPERIENCE[edit]Committee_______________________________________________ Assembly________________________________________________ Isolated________________________________________________ Firesides_______________________________________________ Other___________________________________________________ ________________________________________________________ |
Signature ______________________________________________
Date: __________________________________________________