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MISSION SERVICES ASSOCIATIONFor office us e only;

1 G I9fi'PERSONAL FILE FORM Da t e Se n t :

Date Rec d: J

Information from this form will appear in Horizons and o the r information formats published by Mission Services Association.

Please t yp e o r print clearly

This form is prepared to help you give accurate background information about yourself a nd you r mission work.

*D o n o t a b b r ev i a tePlease do not write on this formanything other than that requested. Attach extra sheets for additional information you may want to provide

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

Date: J_LName In full _

Spall ou t al l namesBO /d

(Month Da y

F i rs t NameF^LTToaJ

Middle Name L a st N a me

: A0X- - 73-^ ,Aoc/?a/a/] , , ar/z/f-a{Number Street - City Stato Zip number - Country)

Complete address on field

P ho ne n um b er on field: In Case of Emergency call :

Ask for:(First Middle Last name and addr es s )

Year)

Your complete address while in USA: Number Street - City - SfaJe Zip

Your USA phone number: a re a code phone number ? 5 f ZS l a

Name and address of Livinglink church or churches:Numbe r St ree t(Full n am e o l church)

City S ta t e

(Full name ot church) Numbe r St ree tCity: Sta te

Names and addresses of other sponsoring churches whose elders recommend you:d iP sa rr r^ /Z /jrr/a /^ M, .mhpr Rtrp^t P-o- c.y

(Full name o l church)City: State / A-j

Zip

Zip

7i p

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ONi N e >e 0VL oFCM0.

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Please list places of previous Chris tian service an d what se rvice you did as a brief career summary. Giveapproximate dates:

Pl a c e P os i t io n S e rv ice D a t e s

y^7?V y

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PARENTS: _K l C H \ R hF a t h e r s n am e a nd h is h o m e a d d r e s s : First Miuum - . i-bsi na inv/Living ^ Deceased Number Street ^9 I K^City f^.-AA T0A3 state r M Zip Phone

His occupation yi^AK /VlArO Is he a Christian? Yes NoWhat positions of leadership has he held in th e local church? .

What Christian service does he now do? ^ /? t^TiAa/ tTi4M o t h e r s full m a i d e n n a m e T^o.^eo-n-iV l-l a)

Middle , Last nam e)

{Fast - Middle Last n am e)

Living Deceased Number Street j Avs-jiO-t .City (2-A/OTP/O , stateIs she a Christian? Yes No He r occupation if employed outside thehome st:/OTATi\/^What l ea d er sh ip p o si ti on s o r C hr is ti an s er vi ce ha s sh e rendered to th e local church?Do yo u have relatives in mission work? Yes NoIf s o, p le as e list their names, locat ion, kinship an d details on a separate sheet with a brief explanation of theimissionary activity.

F O R W AR D IN G A G E N T: .TgAtvl dool^ia m e (First Middle - Lastijame. If applicable, Hatboth Mr. an d Mrs. lull rtames.)Number and Street a/ WbST ^ ' , City ^State //^ C>iA/Ci A Zip ^ 7 W O Phone ~ 3oWhere attend church? pyf^OflT (Chh^f^CH_lull name ot church) jNumber Street 0 City CxC ifoi^T state zipWhat duties are performed by the forwarding agent? ^tAT^-5 iShould money be sent to the forwarding agent only? ^Does th e forwarding agent receive a salary? In what form sh ou ld f un ds b e sent?Please give the full name of the mission: -A P^icAn^ ^/mc Does th e mission have official ta x exempt status?Please give details of HOW checks should be written to this mission: lCi< PliCTC/O .If funds are to be sent directly to th e missionary on th e mission field, please explain th e details of HO W to d o it, so wecan give your e xpla na ti on t o HORIZONS r ea de rs a nd o th er s w ho may inquire

Mission Services Association is depending upon you to keep her informed regarding your missionary activity.Thanks so very much; you are th e BEST source for your information we know, so you are a vital partner.

Ifyou have additional information that you think will be helpful to th e staff of MSA in preparing news stories aboutyour ministry, please feel free to send it. MSA is depending upon you. Thanks.

7/22/2019 Fulton Rick Coretha 1983 Ghana

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MISSION SERVICES ASSOCIATION

P E R S O N A L FILE FORMFor.oflice Lisa only:t S 190?

D a t e S e n t :

Date Rec d J U .. Z / ; ',Information from this form will appear in Horizons and other information formats published by Mission Services Association. This form is prepared to help you giveaccurate background information about yourself an d your miss ion work.

Please type or print clearly Do not abbreviateplease do notwriteon this formanything otherthan that requested. Attach extra sheets for additional infonnationyou may want to provide

This is not an application form. Itis not an official form endorsing you and your work. Itis simplya worksheet designed to help us publicizyour work that may help produce new friends for you, prayers and financial assistance. Ifany questions seem too personal or seem offensivto you, please f ee l f re e to leave them blank.

: ^ 3a te

N a m e in full Spell ou t all names flotETHA MmlFaJ/;Month Day Year\

F i rs t N a m e Middle Na m e U L T O 0

L as t N a m e

Comptete address on field . Boy GmA/OA , lA/gs?-A

Number - Street - City Stafe - Zip number Country)

P ho ne n um b er on field: In Case of Emergency call # : S-g- wA sk for:

First Middle Last name an d address)

Your complete address while In USA: .^o a/. St . , Sett^ce^. Number - Street - City - State

Your USA phone number: area code phone number

Name and address of Livinglink church or churches:N u m b e r & St ree t Full name ol church)

City S t a t e

Foil name ol church) N u m b e r & St ree tCity: S t a t e

Names and addresses of other sponsoring churches whose elders recommend you:Crtc i Ia I Number &Street ^ 0 l^cK Fullnaipo ol church)

City: c 3 T S t a t e

Zip

Zip

Zip V ?V33

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Numbe r Stree t FSo-^ 3>g.nLg-M/woAir dmiKcH of CHK\5r(Fullngme of church)City: G s t a t e ru Zip ^Please send let ters of recommenda t ion from thee lde rs inyour sponsoring churches which will encourage o the rchurchestosupportyourmissionary work. Certainly th ewords of these elders will help to co nvince o th ersregarding th e worthiness of your mission work. Pleasehelp MSA to spread your news through HORIZONS bysending these elders letters from your sponsoringchurches as soon as possible. MSA will be happy to helpyou contact these elders If you will send th e fulladdresses of t he c h ur ch e sRecommendations by Christian Leaders: {List names here and enclose a copy of each letter.)Name; l-lwsT^TTBli^ Number Street *7^?/

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

: Li-z^AiSem CfWity state AJ.C z p mName

City _Numb e r St r ee t

S ta t e Zip

Place of Birth ^CTAJ ftmCc- ^^{t ^P rAu City GrecA tJCriii state ( O^aAfJAffJumber StreetlDate of birth . L I?(Month) (Day) (Year

{Add date of arrival and natural izat ion da te(Month) (Day) (Year) (Month)

if applicable.)

Zip

(Year)

Where baptized? AtO Date 0i ^City State zip

(Day)

On an extra sheet please descr ibe any details regarding your conversion which you might care to mention..MARITAL STATUS

Married k

Date of marriage

Who solemnized your wedding? ALR^yCT . /A

Single Divorced W idow edPlease give the complete name of your husband or the maiden name of your wife J(/CM/tiS P[\a)A^7\ A c/I tA(Vu^T /3 7 .Where married? ^\I(Month) (Day) (Year)

List children by full name giving the place, birthday, month and yearintheorderofyourchildren 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.

Name Place of birth Month, Day Year-St

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Please list p laces of previous Christ ian service and what service you did as a brief career summary. Giveapproximate dates;

PlacefafA^^CiL . CtA , - ^j ^ /^saiT crJTCthA,ta\ JfCufi\t V S> j Stu-^v ^/TAPi^ ,

Position Service Dates

EDUCATION high school and later : Degrees gran ted an d dateName of school Location Number of years ^^ist honorary degrees)t)wEk\ \kLLei S: ^ SPsMUK, 4 , ^tAtJE ^

3otiA>So/0 Bi RlE CjNA^ ,^} , ^ , yVi^/

lissionary? f^y MufUmb, Mh hi Ff yeMT MiSSu/ifha t influenced you to become a mi/yg Mei- IhsCtiKikiiKjU b j6.t:,-:T-T -fht Mtb-^JorJAKj r-tftST iJeEKorWhat is your purpose In missions? Or what do you hope to accomplish on th e missionf ie ldYour own explanation in some detail might be influential in leading others Into full-time service. Use extra sheets ifyou need mor e space : f.LA.^rA o-T ChrCi \ VJ-^UAei/^ vf i- nd^ hi .U- ]Describe briefly in outline form the nature of your daily duties on the field: PaP^ CnArse^ . r>FRCtrWK\l ^ Lie^AK)

Which of th e following t erms mos t nearly describes your missionary status?Evangelist Bible College Teacher Bible Reader Public School TeacherHomemaker { Doctor Nurse Social Worker Music Teacherministry Radio follow-up Christian Service Camp Linguistics Maintenance of

Pilot .Radio

mission equipment Main t enance Benevo l en t Off ic e Wo rk P roduc t i on of BibleProduction of Chris tian literature in th e National Language Villageorrespondence Courses

Evangelism Name other:Languages you know fluent/non-fluent) ^ /^a) 6rc-i

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P A R E N T S

F a t h e r s n a m e a n d h is h o m e a d dr es s:y (First Middle Lastname)Living Deceased Number Street f A/- \J\lBSr 3r.City CBiL state ^^ Zip (r O Phone 3^- 3oHis occupation U/-tAJ C D/^ti^ATorZ . Is he aChristian? Yes . NoWhat positions of leadership has he held in the local church? ACo/J i S-S. fAireKJptgKJT

What Christian service does he now do? Hi? I S A/JM o t h e r s full m a i d e n n a m e uf^^h 'SerhtJ (l^T S

First Middle Last n ame)

Living Deceased Number Street I iA/rST .nity , state psl 7ip ^1^66 Phnnf^(So)Is sh e a Christian? Yes No Her occupation If employed outside th ehome /f05pcrn^^ pr.A^What leadership positions or Christian service has she rendered to the local church? IcACfisie. ^Do yo u have relatives in mission work? Ye s NoIf so , please list t he ir n am es , location, kinship an d details on a separate sheet with a brief explanation of theirmissionary activity.

F O R W AR D I NG A G E N T:f\L ^k P^OLBia m eN u m b e r a n d S t r e e t

RtMP 7i p PhoneWhere attend church? Cto Eull n ame of ch u rch )Number Street F f _lioj , City State LtJ Zip

(First ' Middle - Lastr^me. IIapplicable, listbothMr. andMrs. lull names.)^Qn/ aJ \A/e T Sy . ^ city Sf^g-zJcgie

What duties ar e performed by th e forwarding agent?S ho uld mon ey be sent to th e forwarding agent only?Does the forwarding agent receive asalary? n what form should funds be sent? OmbcJc Please give the full name of the mission: Li/AfJCtsusM , /ajc -Does th e mission have official tax e xe m pt status?Please give details of HO W checks should be written to t his mission:If funds ar e to be sent directly to th e missionary o n t he mission field, please explain th e details of HO W to do it, so wecan give your explanation to HORIZONS readers a nd o th er s wh o ma y inquire

Mission Services Association Is depending upon you to keep her informed regarding your missionary activity.Thanks so very much; you a re t he BEST source for your information we know, so you ar e a vital partner.

If y ou h av e additional information that yo u think will be helpful to th e staff of MSA in preparing news stories aboutyour ministry, please feel free to send it. MSA is d e pe n di n g u po n y ou. Th an ks.