Bahá’í News/Inserts/Issue 407/Pioneer Application Blank/Text
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PIONEER APPLICATION BLANK
PLEASE COMPLETE AND RETURN THIS COPY TO THE NATIONAL SPIRITUAL ASSEMBLY 536 Sheridan Road, Wilmette, Ilinois
Name
Address
City & State
Birth Date Race Citizenship Married Single
Dependents: Adults
Minors
EDUCATIONAL & WORK EXPERIENCE
High School
College
Knowledge of language other than English.
Writing ( ) Speaking ( )
Work Experience
Present Occupation
List health problems, present or past:__
Signature
Date:
CHECK AREA DESIRED Caribbean Island Areas Africa
United States (State preference of State or general area of the
NN
country)
Other Areas
When can you leave?
How long can you stay?
FINANCIAL STATUS
Aid needed (if any)
Financial Reserve
BAHA’I TEACHING AND ADMINISTRATIVE EXPERIENCE
Committee
Assembly
Isolated
Firesides
Other.
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