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.