CPx 2020 Application Part 1 of 2

{Please note that you must submit all three sections of the application, plus references, before you will be considered for the acceptance.) Welcome to the CPx 2019 Application. We are honored that you would apply! Our intended audience for this training are disciple-makers and kingdom workers that are called to work cross culturally. This experience will be in Cape Town followed by a 9 month internship at your own desired location. Our desired outcome is to send disciple-makers into the field with practical tools for helping fulfill The Great Commission in Matthew 28, and to help these workers approach new cultures as a learner. After completion of this part of the application, as well as parts 2 and 3 please follow the other links on our website to send 2 required references, one from a pastor/employer and one from a teacher/mentor. Until this is done, your application is not complete and will not be considered. If you have any questions or concerns, please email us at cpx@all-nations.co.za

Please be honest in regard to all answers given below.

Personal Information

Preferred Name:

Name as shown in full on passport:

Please upload a picture of yourself:

Upload (8MB)

Preferred Phone #

Preferred Email Address:

This address will receive a confirmation email

Please Give Your Full Home Address including Country:

Passport Information:

Are you currently living in South Africa?

Yes No

What is your legal status in South Africa:

South African citizen with no identity documents South African citizen with identity documents South African citizen with identity documents and passport Foreigner on tourist visa Foreigner on work permit Foreigner with amnesty or asylum documents Foreigner with passport (but no visa yet) Foreigner with no passport, visa or amnesty documents

What is your country of citizenship:

What is your passport number:

What is your passport's expiration date:

Does your passport contain at least 5 blank pages for visas?

Yes No I don't understand

Have you ever been refused a visa or access to another country?

Yes No I don't understand

If you have been refused a visa or access to another country, please explain:

Health Information

Please list any serious sicknesses or diseases that you have had or currently have.

Please describe in detail those illnesses you still have that you listed above.

Are you presently under a doctor's care for any reason? If so, specify.

Are you taking any medication at this time? If so, specify.

Are you allergic to any medications? If so, which ones?

Do you have any other allergies? If so, which ones?

Do you have a history of emotional instability or psychiatric treatment? If so, please elaborate.

Do you now or have you ever received any funds for disability from any source? If yes, specify.

Do you have any physical impairment, handicaps or health conditions that require special attention? If yes, specify.

Education Information:

What is your highest level of formal education completed:

Completed primary school Not finished Secondary School Finished Secondarly School Some College or University Technical School Degree Bachelor's Degree from University Master's Degree from University Phd or similar professional degree from University (MD,JD,etc.) I am understand

CPx is taught in english. How well do you understand English?

None Very little Basic but no big words Only conversational english and easy concepts Can understand complex concepts Fluent or First Language

What is your first language?

What other languages can you speak? In order from best to worst:

Financial Information

Do you have your complete CPx fees available now?

Yes No Some but not all I don't understand

How do you plan to pay your CPx fees?

Do you have debt?

Yes No I don't understand

If yes, what is the amount in your local currency:

What is your plan to pay this off:

Please share your views on tent-making, fundraising and sustainability:

Christian Experience

At what age did you start following Jesus?

How did you hear about this training experience?

Why do you want to be part of CPx?

What do you expect to learn from CPx?

Personal Testimony: How and when did you become a follower of Jesus? How has God changed and worked in your life?

Please describe your relationship with God. How do you maintain intimacy with Jesus?

Are you connected to a local church? Please describe your relationship with your church?

How are you currently being discipled? Who disciples you? Describe how they disciple you.

Are you discipling others currently? Please describe what this looks like.

What is your experience or understanding of disciple making movements or church planting movements?

Have you been involved in the witchcraft or anything occult?

Yes No I don't know

If Yes please describe your journey out of these practices and your healing thereafter.

Have you been baptized?

Yes No I am not sure

What are your views and understandings on the gifts of the Holy Spirit?

In regards to ministry, what do you perceive to be your primary skills?

Emergency Contact Information

In case of an emergency, contact name:

relationship to above contact:

person's home phone number including country code:

person's work phone number including country code:

Acknowledgment of Liability

I understand that payment of the required school tuition fees must be made in South African currency prior to or upon arrival, unless otherwise approved in writing by the Program Director before my arrival in Cape Town. I agree to meet in a timely manner, prior to the completion of the 3 week portion of the program, all personal expenses incurred during my involvement with CPx:

I we do hereby release All Nations and CPx, it's staff, agents and volunteer assistants from an and all liability whatsoever arising out of any injury, damage, or loss which may be sustained by said person(s) during the course of their involvement with CPx:

Initial to agree here:

Today's Date:

CPx 2020 Application Part 1 of 2

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