Pre-ICC Information Form

Please submit one form per adult.

First and Last Name*
If married, how long have you been married?*
If you have children, describe any concerns you would like ICC to address.
Name of your mission agency.*
In what country do you expect to serve?*
What is your projected role/assignment?*

(i.e., IT, aviation pilot, church planter, etc.)
List 3 positive expectations about your projected assignment.*
List 3 challenges you expect to face in your projected assignment.*
In what countries have you lived, visited, worked, and ministered? What cultures have you interacted with extensively? Indicate time (days, weeks, months, years) spent in each. (Ex: 1 month vision trip to PNG in 2020, served in Nairobi with MAF 4 yrs, 2012-2016, attended Hispanic church in Houston for 3 yrs during college.)*
What have you studied or experienced that has shaped your thinking about multicultural teaming?*
Have you had any missiological training?
- Yes
- No
If you answered yes to the above question, please describe.
What linguistic or Bible Translation training have you had? (EX: MABT from DIU, UND MA Linguistics) What language learning training have you had? (Ex: SLACA from DIU, TESOL from Wheaton)*
What language learning experience have you had? Specify language and level of fluency on the scale from 0-5 below. (Ex: Lived 7 yrs as missionary kid in Brazil, fluency in Portuguese = 3)*
0 = No proficiency, 1 = Elementary proficiency, 2 = Limited working proficiency, 3 = Professional working proficiency, 4 = Full professional proficiency, 5 = Primary fluency/bilingual proficiency.
Describe your Bible training, formal or informal.*
Describe your personal worship/devotional life. Include any Bible study methods you have used.*
Describe what you have been taught regarding spiritual warfare.*
How would a good friend describe you? (Include positive descriptions as well as areas needing improvement.)*
What are your expectations regarding the Intercultural Communications Course (ICC)?
What are your hobbies?
What else would you like the ICC staff to know about you?
(i.e., food allergies, dyslexia, hearing difficulties, financial issues, etc.)
How can the ICC staff be praying for you?
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