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MISSION SERVICES ASSOCIATIONFo r office us e only:

. /PERSONAL FILE FORM ^ i-83Da l e Re c' d:

Information from this form wil l appear in Horizons and other infor- This form is prepared to help you giveaccurate background informa-mation formats publ ished by Mission Services Association. tion about yourself and your mission work.'Please type or print c learly *Do not abbreviatePlease do not writeon this formanything otherthan that requested. Attachextra sheets for additional informationyoumaywantto provide

This is not an application form. It is not an official form endorsing you and yourwork. Itis simply a worksheetdesigned to help us publicizeyour work that may help produce newfriends for you. prayers and financial assistance. Ifany questions seem too personal or seem offensiveto you. please feel free to leave them blank.

Date: Nov. _2L, 1Q8^(Month Day Year)

Name in full David MohuSpell ou t all names First Name Middle Name Last NameGhiuese Chri s t i an . SeminaryComplete address on field; No. 16V173 OamD St../Kin On BIdg. ^rd Kowloon(Number Street Clly - Sfafe - Zip number - Counfr/;JJOng KOng

Phone number on field: In Case of Emergency call #: 3~786391 (2)U.S^A.: (305) 631-0886Ask for: Wong Yan Wing or David Pol ing XRobert Mohn, 3931 W.Ridgewood(First Middle - Last name and address) COGOaj Fla* 3^92Your complete address while in USA: P.O. Box 178/LinQOln> 111. 62656 (LGO)(Number Street City - Slate Zip) '

Your USA phone number: area code ^17 phone number 735-9070

Name and address of Livinglink church or churches:Number & Street(Full name ol church)

City State Zip(Full name ol church)

City: State ZipNumbe r & St ree t

Names and addresses of other sponsoring churches whose elders recommend you:Numbe r & Stree t(Full name ol church)City: State Zip

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(Full name o f church) Numbe r & Stree tCity: S t a t e Zip

Please s end l e tt e rs o f recommenda t ion from the elders inyour sponsoring churches which will encourage otherchurchestosupportyourmissionary work. Certainly th ewords of these elders will help to convince o the rsregarding the worthiness of your miss ion work. Pleasehelp MSA to spread your news through HORIZONS bysending these elders' letters from your sponsor ingchurches as soon as possible. MSA will be happy to helpyou contact these elders if yo u will send the fulladd re s s e s o f th e chu r che s .

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

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

Nam e

City _Place o f B ir th

(Number 4 Slreei)Date of birth Octobe r

(Month)

Numbe r & St r ee tS t a t e

City GoJ-umbus19 1949(Day) (Year)

Zip

State Ohio Zip

(Add date of arrival June/July 1984 a n d natura l iza t ion da t e(Year)

City

(Month) (Day) (Year)_ if applicable.)

1st Ch r i s t i a n Chu r chWhere baptized? Tallahasscs, Fl

Sta te

(Month)

Date Spr ing 1970Zip_3231

(Day)

On an extra sheet please describe any details regarding your convers ion which you might care to mention..MARITAL STATUS : - - -Married Single Divorced WidowedPlease give the complete name of your husband or t he maiden name of your wifeDate of marriage Where married?

(Month)

Who solemnized your wedding?(Day) (Year)

List children by full name giving the place, birthday, month and yearintheorderofyour children's birth days. (Ifyourchildren have been adopted please indicate.) In case you ar e single, please list your brothers and sisters by name inthis space.

N am e Place of bir th Month, Day Y e a r

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Please list places of previous Christian service and what service you did as a brief career summary. Giveapproximate dates:

Place Posi t ionS ee attached sheets

EDUCATION (high school and later):Name of school Location

S ee attached sheets

Serv ice

Number o f years

Da t e s

Degre es g rant ed and dat e(List honorary degrees)

What influenced you to become a missionary? I have been mission mifided sinceconvers ion t but I was in flu en ce d to th i s mission "by a -presentat iono f David & ly nn P olin g a t t h e i r home congrega t ion in Eau ( Ja l l i e .What is your purpose in missions? Or what do you hope to accomplish on the missionfield? es tab l i sh ing new churches in H.K. to support the t ra in ing work of ibhe

Your own explanation insome detail might be influential In leadingothers into full-time service. (Use extrasheets ifyo u need mor e space ):

The primary focus of the mission in H.K. i s to es tab l ish newcongrega t ions , t h a t wi l l a l so suppo r t the B ib le College to t r a i nand r e c r u i t l e a d e r s f o r t h o s e chu r che s be fo r e th e doo r c l o s e s i nDescribe briefly in outline form the nature of your daily duties on the field: (1997(a f te r 2 years of language study) -passing out t ractsy t

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PARENTS :

Father's name and his home address: Robert W.Mohin(First Middle Last name)Living ^ Deceased Number &Street 3931 W. Ridficwood DrCity , State Zip 32926 phone (303)631-0886His occupation Retired Is he a Christian? Yes No TWhat positions of leadership has he held in the local church?

Wha t Ch ri s ti an service d oe s h e nov/ do?

Mother's full maiden name Wa^da Mae Sprin.^(First - Middle - Last name}

Living ^ Deceased Number &Street Same as aboveCity_ State Zip ^ Phone '

YIs she a Christian? Yes No Her occupation if employed outside th ehome Re t i r edWhat leadership posit ions or Christian service has she r ende red to the local church?Do you have relatives in mission v^/ork? Yes No If so, p lease list their names, location, kinship and details on a separate sheet with a brief explanation of theirmissionary activity.

FORWARDING AGENT:Mont and Wilda Smith(First - Middle Last name. II applicable, l is t both Mr. and Mrs. full names.)Number and Street 106 W. Cedar , City Atwood

..... Illinois .ip 61913 (217) 378-2875Where attend church? Atwood Christian Church (preacher)(Full nameofchurch) ^Number & Street City State ZipWhat duties are performed by the forwarding agent? Finanoial ana ataieside iaterfaos

Y s sShould money be sent to th e forwarding agent only?Does the forwarding agent receive a salary? In what form should funds be sent?Please give the full name of the mission: Jesus for the Bill ionsDoes the mission have official tax exempt status? 52Please give details of HOW checks should be written to this mission: in the mission's nameIf funds ar e to be sent directly to the missionary on the mission field, please explain th e details of HOW to do it, so wecan give your explanation to HORIZONS r eader s 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 aboutyour ministry, please feel free t o se nd it. MSA is depending upon you. Thanks.