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MISSION SERVICES ASSOCIATION

For office use only:


PERSONAL FILE FORM
Date Sent: ^
Date Rec'd: StP 1 1981
Information from this form will appear in Horizons and other infor
mation formats published by Mission Services Association.
'Please type or print clearly
This form is prepared to help you give accurate background informa
tion about yourself and your mission work.
'Do not abbreviate
'Please do not write on this form anything other than that requested. Attach extra sheets for additional information you 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. If any questions seem too personal or seem offensive
to you, please feel free to leave them blank.
August 10, 1981
Date:
(Month Day
Name in full
Spell out all names
James
First Name
Ppfln
Middle Name
Davlfi
Complete address on field: P.O. Box
T.ncflkfl
(Number City Stale Zip number Country)
Phone number on field: In Case of Emergency call # :
Ask for:
(First Middle Last name and address)
Your complete address while in USA: Anstr Shoihy st:rgpt Indianapolis Indisna 46227
(Number - Street - City Stale Zip)
Your USA phone number: area code phone number
784 - S249
Name and address of Livinglink church or churches:
TTniyorsify Chr, Church Number &Street 4050 Shelby Street
(Full name ol chiucp)
Indiana
City
anapoLls
(Full name ol church)
City:
State
Number & Street
State
Names and addresses of other sponsoring churches whose elders recommend you:
Number &Street ^
Zip
Zip
46227
HynK OyrhwrH Chr, Church
(Full name of church)
City: Crglo OrrUord State Zip I ^
Year)
Wildie Christian Church
(Full name ol churchj
Number & Street
City:
Wildie
State Kentucky Zip AQA92
Please send letters of recommendation from the elders in
your sponsoring churches which will encourage other
churches to support your missionary 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 eiders' 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.]
Please sketch a map directing visitors to your location on the mission field
Name: Dr. David L. Eubanks
Knoxville
City:
Narne Mr. Philip Bacon
Qity Indianapolis
Number & Street Johnson Bible College
Tennessee 37920
State Zip
Number & Street
State
4050 Shelby Gtveet"
Indiana.
Zip
, ^ Berea Coll. Hospital..^ Berea
Place of Birth ^ City State
Kentucky
Zip
(Number & Street)
Date of birth February
(Month)
(Add date of arrival
(Month)
21 1958
(Day) (Year)
(Day)
(Year)
if applicable.)
Capella Christian Church
Where baptized?
City King
and naturalization date
(Year) (Month)
Date
State North Carolina Zip 27021
(Day)
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 Where married?
(Month)
Who solemnized your wedding?
(Day) (Year)
List children by full name giving the place, birthday, month and year in the order ofyourchildren's birth days. (If your
children have been adopted please indicate.) In case you are single, please list your brothers and sisters byname in
this space.
Name Place of birth Month, Day Year
n
Please list places of previous Christian service and what service you did as a brief career summary. Give
approximate dates:
Place Position Service Dates
bearden unr. v.^nurcn narc time minister
Crab Orchard Chr, Ch. Minister
Dreacnea on wc3eK,enu&
Preach Nov,' 80 thru May,'81
University Hgts Chr, Ch. Mission Intern
work with preacher June thru Get '81
EDUCATION (high school and later):
Name of school
iiift Valley Academy ,
Johnson Bible College
Location
Kenyaf Africa
Knoxvllle, Tenn,
Number of years
4
Degrees granted and date
(List honorary degrees)
High School Diploma
B.S. Mission Ministries
What influenced you to become a missionary? .Partly due to being raised on the nilsslon field,
and also the fact that there Is a great need for men and women to go a nd spread the gos-
pgl ^r> hVirtco Mhr> havont hgard.
What is your purpose in missions? Or what do you hope to accomplish on the mission
field?
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 purpose Is to establish churches that can function without the aid of a missionary.
We must train leaders who Can keep Che church alive and growing in che event the missionary
Is asked to leave the country. I would dearly like to see the church of Jesus Christ
flUtro flnH oyntJing r.r. ^1c in 7.flmh-ip ^Afrir.fl whftrp I flm planning to pn.
Describe briefly in outline form the nature of your daily duties on the field: Tr. TrAin loaHprcj t-PArh-ing them
sound doctrine and also how to lead a church. To help the church with its growth In the
Lord, and once a congregation Is established and on its feet, move co another area in Llie
vicinity, this way branching out Into unreached areas.
Which of the following terms most nearly describes your missionary status?
Evangelist Bible College Teacher Bible Reader Public School Teacher Pilot.
Homemaker
ministry
Doctor Nurse Social Worker Music Teacher Radio
Radio follow-up
mission equipment
Correspondence Courses
Evangelism Name other:
Languages you know (fluent/non-fluent)
Maintenance
Christian Service Camp
Benevolent
Linguistics Maintenance of
Office Work Production of Bible
Production of Christian literature in the National Language Village
PARENTS:
, , . , Leland _ Dean Davis
Father s name and his home address:
(First Middle Last name)
Living ^ Deceased Number &Street P.0 Box 32184
Lusaka Zambia
City ,.Sfeate Zip Phone
Missionary , x- w x
His occupation Is he a Christian? Yes
What positions of leadership has he held In the local church? Preacher
What Christian service does he now do? ^^ssionary
Mother's full maiden name Judith Elaine MitchQll
(First Middle - Last name)
I X ^ KI Uk o o* * Box 32184
Living Deceased Number & Street
City Lusaka State Zambia 7ip -Phnno
Is she a Christian? Yes ^ No Her occupation if employed outside the
home
What leadership positions or Christian service has she rendered to the local church? Ministers wife
X parents described above
Do you have relatives in mission work? 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:
Mamo Mrs. Don and Wanda Moore
445f''^^I. -EdgeflfWod AvCrBme. if applicable, list OoflrtdiaWapOlai'S!-)
Number and Street City
Indiana 46227 ( 317 ) 784 - 0374
State Zip Phone
Where attend church? University Heights Christian Church
(Full name of church)
fv)iimhor >1 .Qtroot ^05n fihpthy St:, ^ rify TnH-iflnflpnMc .Qtfltfi InHlflnfl 7ip 46227
ffandling Corrospondence and money
What duties are performed by the forwarding agent?
Should money be sent to the forwarding agent only? 2 ^
no
Does the forwarding agent receive a salary? In what form should funds be sent? check
, ^ Zambia Christian Mission
Please give the full name of the mission:
Does the mission have official tax exempt status? 2es
Please give details of HOW checks should be written to this mission: Zambia Christian Mission
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, do not send to field
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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