MISSION SERVICES ASSOCIATIONFor office use only:

PERSONAL FILE FORMDate Sent: ^

Date Rec'd: StP 1 1981

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 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 publicizeyour work that may help produce new friends for you, prayers and financial assistance. If any questions seem too personal or seem offensiveto you, please feel free to leave them blank.

August 10, 1981Date:

(Month Day

Name in fullSpell out all names

JamesFirst Name

PpflnMiddle 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

CityanapoLls

(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 sponsoringchurches 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. EubanksKnoxville

City:

Narne —Mr. Philip Bacon

Qity Indianapolis

Number & Street Johnson Bible CollegeTennessee 37920

State Zip

Number & Street

State

4050 Shelby Gtveet"Indiana. Zip

, ^ Berea Coll. Hospital..^ BereaPlace of Birth ^ City State

KentuckyZip

(Number & Street)

Date of birth February(Month)

(Add date of arrival(Month)

21 1958

(Day) (Year)

(Day)

(Year)

if applicable.)

Capella Christian ChurchWhere 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. Giveapproximate 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 AfricaKnoxvllle, Tenn,

Number of years

4

Degrees granted and date(List honorary degrees)

High School DiplomaB.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 missionfield?

Your own explanation in some detail might be influential in leading others Into full-time service. (Use extra sheets ifyou 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 missionaryIs asked to leave the country. I would dearly like to see the church of Jesus ChristflUtro flnH oyntJing r.r. ^1•c 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 theLord, and once a congregation Is established and on its feet, move co another area in Llievicinity, 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 • DavisFather s name and his home address:

(First • Middle • Last name)

Living ^ Deceased Number &Street P.0« Box 32184Lusaka Zambia —

City ,.Sfeate Zip Phone

Missionary , • x- « w xHis 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 32184Living 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 wifeX 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 theirmissionary activity.

FORWARDING AGENT:

Mamo Mrs. Don and Wanda Moore445f''^^I. -EdgeflfWod AvCrBme. if applicable, list OoflrtdiaWapOlai'S!-)

Number and Street CityIndiana 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 46227ffandling 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 wecan 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 aboutyour ministry, please feel free to send it. MSA is depending upon you. Thanks.