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MISSION

SERVICES ASSOCIATION
For office use only:
. /

PERSONAL FILE FORM


Dale Rec'd:

^ i-83

Information from this form will appear in Horizons and other information formats published by Mission Services Association.
'Please type or print clearly

This form is prepared to help you give accurate background information about yourself and your mission work.
*Do not abbreviate

Please do not writeon this form anything otherthan that requested. Attach extra sheets for additional informationyou may want to provide.

This is not an application form. It is not an official form endorsing you and your work. It is simply a worksheet designed to help us publicize
your work that may help produce new friends for you. prayers and financial assistance. Ifany questions seem too personal or seem offensive
to you. please feel free to leave them blank.

Date: Nov.
(Month

_2L, 1Q8^
Day Year)

Name in full

Spell out all names

David First Name


(Number Street

Middle Name

Last Name

Mohu

Ghiuese Christian. Seminary

Complete address on field;

No. 16V173 OamD St../Kin On BIdg. ^rd


Clly - Sfafe - Zip number

- Counfr/;JJOng KOng

Kowloon

Phone number on field:


Ask for:

In Case of Emergency call #:

U.S^A.:

(305) 631-0886
(LGO)
'

3~786391 ( 2)

Wong Yan Wing or David Poling (First Middle - Last name and address)

XRobert Mohn, COGOaj 3931 W.Ridgewood Dr. Fla* 3^926

Your complete address while in USA:

P.O. Box 178/LinQOln> 111. 62656


(Number Street City Slate Zip)

Your USA phone number: area code

^17

phone number

7 35-9070

Name and address of Livinglink church or churches:


(Full name ol church)

Number & Street

City
(Full name ol church)

State
Number & Street

Zip

City:

State

Zip

Names and addresses of other sponsoring churches whose elders recommend you:
Number & Street
(Full name ol church)

City:

State

Zip

Number & Street


(Full name of church)

City:
Please send letters of recommendation from the elders in

State

Zip

Please sketch a map directing visitors to your location on the mission field

your sponsoring churches which will encourage other churchestosupportyourmissionary work. Certainly the words of these elders will help to convince others regarding the worthiness of your mission work. Please help MSA to spread your news through HORIZONS by sending these elders' letters from your sponsoring churches as soon as possible. MSA will be happy to help you contact these elders if you will send the full
addresses of the churches.

Recommendations by Christian Leaders: {List names here and enclose a copy of each letter.)
Name: Number & Street

City:
Name

State
Number & Street State

Zip

City _
Place of Birth
(Number 4 Slreei)

Zip

City
October
(Month)

GoJ-umbus
1949
(Year)

State

Ohio

Zip

Date of birth

19
(Day)

(Add date of arrival


(Year)

June/July
(Month) (Day)

1984
(Year)

and naturalization date


(Month)

(Day)

_ if applicable.)

1st Christian Church

Where baptized?
City

Tallahasscs, Fl
State

Date

Spring 1970

Zip_3231

On an extra sheet please describe any details regarding your conversion which you might care to mention..
MARITAL STATUS: -

Married

Single

Divorced

Widowed

Please give the complete name of your husband or the maiden name of your wife
Date of marriage
(Month)
(Day) (Year)

Where married?

Who solemnized your wedding?

List children by full name giving the place, birthday, month and yearintheorderofyour children's birth days. (Ifyour children have been adopted please indicate.) In case you are single, please list your brothers and sisters by name in
this space.
Name

Place of

birth

Month,

Day

Year

Please list places of previous Christian service and what service you did as a brief career summary. Give
approximate dates:
Place Position Service
Dates

See attached sheets

EDUCATION (high school and later):


Name of school Location

Number of years

Degrees granted and date (List honorary degrees)

See attached sheets

What influenced you to become a missionary?

I have been mission mifided sincecon

versiont but I was influenced to this mission "by a -presentation


of David & lynn Poling at their home congregation in Eau (Jallie. What is your purpose in missions? Or what do you hope to accomplish on the mission

field? establishing new churches in H.K. to support the training work of ibhe
Your own explanation in some detail might be influential In leading others into full-time service. (Use extra sheets if
you need more space):

The primary focus of the mission in H.K. is to establish new


congregations, that will also support the Bible College to train
and recruit leaders for those churches before the door closes in

Describe briefly in outline form the nature of your daily duties on the field:

(1997

(after 2 years of language study)


disciDlingt plaT;tning;...-praying i

-passing out tractsy t<?ichi-ng

night classes, preparing/printing tracts & lesson matl., preaching,


Which of the following terms most nearly describes your missionary status?
Evangelist
Homemaker

Bible College Teacher _A_


Doctor Nurse

Bible Reader.

Public School Teacher. Music Teacher

Pilot. Radio

Social Worker

Linguistics X Maintenance of Radio follow-up Christian Service Camp ministry mission equipment Maintenance Benevolent Office Work Production of Bible Correspondence Courses Production of Christian literature in the National Language Village Evangelism Name other:
Languages you know (fluent/non-fluent) j j SpMA

PARENTS:

Father's name and his home address: Living ^ Deceased

City
His occupation

, State
Retired

Number &Street Zip

Robert W.Mohin 3931 W. Ridficwood Dr


(First Middle

Last name)

32926

phone (303)631-0886
No T

Is he a Christian? Yes

What positions of leadership has he held in the local church?

What Christian service does he nov/ do?

Mother's full maiden name

Wa^da Mae Sprin.^


(First Middle Last name}

Living
City_

Deceased
Yes

Number &Street
State

Same as above
Zip ^ Phone '

Is she a Christian?

No

Her occupation if employed outside the

home

Retired

What leadership positions or Christian service has she rendered to the local church?
Do you have relatives in mission v^/ork? Yes No

If so, please list their names, location, kinship and details on a separate sheet with a brief explanation of their
missionary activity.
FORWARDING AGENT:

Mont and Wilda Smith


(First Middle Last name. II applicable, list both Mr. and Mrs. full names.)

Number and Street 106 W. Cedar

, City

Atwood

.....

Illinois

.ip
City

61913
State

(217) 378-2875
(preacher) ^
Zip

Where attend church? Atwood Christian Church (Full nameof church)


Number & Street

What duties are performed by the forwarding agent? Finanoial ana ataieside iaterfaos
Should money be sent to the forwarding agent only? Does the forwarding agent receive a salary?
Ys s

In what form should funds be sent?

Please give the full name of the mission: Jesus for the Billions Does the mission have official tax exempt status? 52

Please give details of HOW checks should be written to this mission:

in the mission's name

If funds are to be sent directly to the missionary on the mission field, please explain the details of HOW to do it, so we can give your explanation to HORIZONS readers and others who may inquire

Mission Services Association is depending upon you to keep her informed regarding your missionary activity.
Thanks so very much; you are the BEST source for your information we know, so you are a vital partner. If you have additional information that you think will be helpful to the staff of MSA in preparing news stories about
your ministry, please feel free to send it. MSA is depending upon you. Thanks.

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