Surname/Lastname:

Fullnames:

Postal Address:
Tel No home:

Tel No work: Tel No fax:

Email address:

Do you have a URL:

Identification No:

Nationality: Birthday: Sex:Male Female

Occupation:

With which denomination or body of believers are you affiliated?

Are you afflicted with any physical disability or chronic ailment which impairs your activity in any way?
Yes. No
Details:

Did you experience any stress related problems the last 5 years?
Yes. No
Details:

Have you ever been in the habit of taking medicine and/or narcotics (drugs)?
Yes. No
Details:

Name of Relative or next of kin:

Address:
Tel No:

Supply details of highest standard or qualification passed.

Did you attend any Bible College?

Yes No
Details:

Give details of courses at Bible College and results:

Give an indication of your fluency in the following languages:
EnglishYes No
AfrikaansYes No
ZuluYes No
XosaYes No
FrenchYes No
OtherYes No

Details:

Give the names of one or more leaders of the organisations with which you were associated and to whom we could write for a reference, if applicable:

Name: Function:

Address:
Tel No:

Email:

Name: Function:

Address:
Tel No:

Email:

Name: Function:

Address:
Tel No:

Email:

Please list three responsible persons who know you as a Christian: preferably your minister or pastor, a business or professional person, and a friend, for reference purposes.

Name: Function:

Address:
Tel No:

Email:

Name: Function:

Address:
Tel No:

Email:

Name: Function:

Address:
Tel No:

Email:

Do you have assurance of eternal life?Yes.No.

If yes, on what grounds?

Give a brief account of your conversion:

Are you seeking to live daily in submission to the Lord?
Yes No.

Can you accommodate an interdenominational atmosphere?
Yes No.

Are you willing to refrain from speaking or propagating any doctrine that could cause division while you are in a study situation?
Yes No.

Are you in complete harmony with the Statement of Faith of CET?
Yes No.

Do you believe that the Bible is fully inspired by the Holy Spirit?
Yes No.

Explain what you believe is meant by "fully inspired"?

Describe briefly your belief concerning the "Person of Jesus Christ":

What must a sinner do to be saved?

When and how is the Holy Spirit received in the life of a person?

What do you understand by the gifts of the Holy Spirit?

Have you been aware of any gifts of the Spirit in your own life and ministry?
Yes No

If so, give details

Where did you hear about the course?

Do you believe that children can be saved?
Yes No

What experience have you had in evangelising children, if any?

With which organization?

What experience have you had in evangelism in general?

Do you have a full-time calling from God for children's work?
Yes No

If so, for which country?

Motivate your calling to become a child evangelist

Are you willing to use your training to equip other persons in child evangelism?

Yes No.

Which course do you wish to attend?

DCM Residential
DCM Correspondence
CAfc

Does your spouse share your interest in child evangelism?
Yes No.

Does he/she plan to attend the Institute with you?
Yes No

Will your children accompany you on the course?
Yes No

If accepted as a student, do you agree to conduct yourself as becomes a child of God; separated from anything that would hinder your testimony for Christ, and to apply yourself to the course of training provided at the Institute to obtain the fullest preparation of mind and heart for the winning of boys and girls to Christ
Yes No

I hereby undertake to abide by the rules and regulations of CET. I certify, to the best of my knowledge, that all the responses to this questionnaire are true.