Apply For Housing

Date of Application:
Name:  Last:  First:  Middle:
Address:
Telephone: Fax: Email:
Permanent Mailing Address (if different from above)
Address:
Telephone: Fax: Email:
Date Housing Desired: When would you plan to arrive at D&D?
Day:
Date:
When would you plan to leave D&D?
Day:
Date:
Have you stayed at D&D before? If yes, when:
How did you first learn of D&D?
Your Present Status:
Foreign Missionary - from USA/Canada serving outside the USA/Canada
Domestic Missionary
Other Full-Time Ministry
Purpose of Your Stay at D&D:
Regular scheduled furlough or         leave
Forced evacuation - foreign country
Retiring after a life-time of foreign mission service
Field of service: How long?
When did you or do you plan to arrive from the field? and return?
If you are doing deputation or pre-field ministry, when do you plan to go to the field full-time:
What is the name of the mission agency/denomination/church or other Christian organization you are working under?
Address:
Telephone: Fax: Email:
Names and Birth Dates for those in your party applying for housing at D&D: Total number will be living at D&D
Single
Mo.
Day
Year
Husband
Mo.
Day
Year
Wife
Mo.
Day
Year
Child
Mo.
Day
Year
Child
Mo.
Day
Year
Child
Mo.
Day
Year
Child
Mo.
Day
Year
Child
Mo.
Day
Year
Child
Mo.
Day
Year
Child
Mo.
Day
Year
Child
Mo.
Day
Year
Child
Mo.
Day
Year
Child
Mo.
Day
Year
Emergency Contact in the USA:
Name: Mrs
Address:
Post Secondary Education: Bible School, College, Seminary, Other (Please give dates, degree(s) earned, major, etc.)
Name of Home Church: Pastor:
Address:
Telephone: Fax: Email:
Your Salvation Experience: (For each adult)
When did you accept Christ as your Savior?
Please give a brief (1 paragraph) testimony of your salvation:
Husband/Single Male:
Wife/Single Female:
Please tell a little about your recent ministry experience:
Husband/Single Male:
Wife/Single Female:
YOU MUST READ THE D&D Statement of Faith (below)
D&D MISSIONARY HOMES Statement of Faith The basis of these Statements of Belief and Practice of D&D shall be the historic Christian faith as contained in the Holy Bible. These statements do not exhaust the extent of our faith. The Bible itself is the sole and final source of all that we believe. We do believe, however, that these Statements of Belief and Practice accurately represent the teaching of the Bible, and, therefore, are binding upon all directors and employees of D&D and missionary residents.
  1. We believe the Holy Scriptures of the Old and New Testaments are verbally inspired by God, are inerrant and infallible in the original writings, and that they are the supreme and final authority in faith and life. (II Timothy 3:16-17. 2 Peter 1:20-21)
  2. We believe in one God, eternally existing in three persons: Father, Son, and Holy Spirit. (Deuteronomy 6:4; Matthew 28:19; 11 Corinthians 13:14; John 14:10, 26)
  3. We believe that Jesus Christ was begotten by the Holy Spirit, born of the Virgin Mary, and is true God and true Man. (Isaiah 7:14; 9:6; Luke 1:35; John 1:1-2, 14; 11 Corinthians 5:19-21; Galatians 4:4-5; Philippians 2:5-8)
  4. We believe that man was created in the image of God; that he sinned, and thereby incurred, not only physical death, but also spiritual death which is separation from God; and that all human beings are born with a sinful nature, and in the case of those who reach moral responsibility, become sinners in thought, word and deed. (Genesis 1:26-27; Romans 3:22-23; 5:12; 6:23; Ephesians 2:1-3; 4:17-19)
  5. We believe that the Lord Jesus Christ died for our sins according to the Scriptures, as a representative and substitutionary sacrifice; and that all who believe in Him are justified on the grounds of His shed blood. (John 1:12; 14:6; Acts 2:18-36; Romans 3:24-25; Ephesians 1:7; 2:8-10; 1 Peter 1:3-5; 1:18-19; 2:24)
  6. We believe in the resurrection of the crucified body of our Lord, in His bodily ascension into heaven, and in His present life is there for us as High Priest and Advocate at the right hand of God the Father. (Acts 1:9-10; Hebrews 9:24; 7:25; Romans 8:34; 1 John 2:1-2)
  7. We believe in "that blessed hope," the personal and imminent return of our Lord and Savior Jesus Christ. (John 14: 1-3; 1 Thessalonians 1:10, 4:13-18; Titus 2:13; Revelation 3:10)
  8. We believe that all who receive, by faith, the Lord Jesus Christ are born again of the Holy Spirit, and thereby become the children of God. (John 1:12; 3:5-7; Titus 3:5-7; 1 Peter 1:18-19)
  9. We believe in the bodily resurrection of the saved unto everlasting life and blessedness in the presence of God, and the resurrection of the unsaved unto everlasting conscious punishment in hell. (Matthew 25:46; John 5:28-29; 11:25-26; Revelation 20:5-6, 12-13)
  10. We believe that God has commanded that no intimate sexual activity he engaged in outside of a marriage between a man and a woman. We believe that any form of homosexuality, lesbianism, bisexuality, bestiality, incest, fornication, adultery), and pornography are sinful perversions of God's gift of sex. We believe that God disapproves of and forbids any attempt to alter one's gender by surgery or appearance. (Genesis 2:24; 19:5,13; 26:8,9; Leviticus 18:1-30; Romans 1:26-29; 1 Corinthians 5:1; 6:9; 1 Thessalonians 4:1-8; Hebrews 13:4)
  11. We believe that the only legitimate marriage is the joining of one man and one woman. (Genesis 2:24; Romans 7:2; I Corinthians 7:10; Ephesians 5:22-23)
  12. We believe that Christians are prohibited from bringing civil lawsuits against other Christians or the ministry to resolve personal disputes. We believe the ministry possesses all the resources necessary to resolve personal disputes between believers. (1 Corinthians 6:1-8; Ephesians 4:31-32)
YOU MUST READ THE D&D Policies and Procedures (below)
D&D Resident Policy and Procedures Length of Stay: Qualified guests may reside at D&D Missionary Homes for am minimum of 1 week to a maximum of 12 months.. Approval steps: Upon receipt of a completed application
  1. The application will be reviewed and you will be notified of acceptance (or rejection) within 5 working days of receipt.
  2. All accepted applications are tentative and contingent upon receipt of the $100 application fee. Once the application is accepted and the $100 Administrative Fee is received, the reservation is considered confirmed.
  3. All applicants must be approved by and supported through a recognized missions agency or church organization.
  4. D&D will consider an applicant's past payment record and unit condition upon their last departure from the campus.
Billing & Payments:
  1. D&D will provide an invoice upon arrival for the first time period payment, which is due and payable upon arrival.
  2. All subsequent invoices will be due upon receipt which will generally be the first working day of each month.
  3. If a payment becomes 30 days past due, a late payment fee of $50 will be added to the amount due, and D&D may ask the resident to leave the campus. If it becomes necessary to place the account for collection, the resident will be responsible for collection/legal fees and expenses.
  4. D&D may notify the mission agency or sending church when an account becomes seriously past due.
Reservation changes (leaving early):
  1. For long-term residents, we require a maintenance fee payment equal to one month (28 days) of the stay if departure occurs more than one month (28 days) early.
  2. Partial months (example: 2-3 weeks) notice is not acceptable. If the resident departs during the last month of the scheduled reservation, there is no refund.
  3. For short-term residents, the required maintenance fee is for the total time period originally reserved. If the resident vacates the house earlier than the end of the reservation time, there is no refund.
  4. Exception to this policy will be rare and only after careful review of the circumstances described in writing to the Office Supervisor.
Extensions:
  1. To extend the original reservation time, the resident must submit a written request to the Office Supervisor explaining the circumstances for the extension. If an extension is granted, the total length of stay may not extend beyond 12 consecutive months.
  2. D&D will attempt to accommodate the request depending on availability and the individual's payment history while at D&D. Submitting any such request as early as possible is important.
  3. If a resident desires to stay for more than 2 weeks past the scheduled leave date, a non-refundable reservation fee of $25 will be required. The $50 deposit will be kept until after their actual leave date and all costs after departure have been calculated.
OTHER GENERAL POLICIES 1.D&D requires it's guests to take care of the cleaning of the home in all aspects, along with the linens used, prior to departure. We will give residents a housekeeping checklist upon arrival for information about cleaning that is necessary before departure. D&D charges $10 per hour if extra cleaning is necessary to meet D&D standards before the next family can move into the house.
  1. D&D allows NO PETS in any house or on the campus. Therefore, if you have a pet please make arrangements for the pet’s care prior to arriving at D&D.
  2. D&D tolerates no use of alcoholic beverages, any form of tobacco, or any illegal chemical substance in any house or on campus. Any such incident will likely result in being asked to move from the campus.
  3. If a guest makes more than one reservation in any calendar year, after the first reservation in the calendar year, each subsequent reservation will require an Administrative Fee of $75.00 ($25 non-refundable reservation fee and a $50 deposit).
AGREEMENT:
1. I have carefully read the D&D Statement of Faith and I agree with and will adhere to it.
2. I have read the D&D’s Policies and Procedures and I (and my family) will abide by them.
3. I understand that I will be responsible for cleaning the home, including linens, etc., prior to checking out.
4. I understand that D&D does not allow pets in the homes or on campus
5. I understand that D&D does not allow alcohol, tobacco or illegal drugs in the homes or on campus.
I understand the submission of this application is subject to acceptance and approval by D&D. I understand that this application, if accepted, will be tentative and can only be a confirmed reservation after the Administrative Fee of $100.00 has been received by D&D. I understand that $50.00 of the Administrative Fee is a non-refundable application processing fee. I understand that $50.00 of the deposit will be held by D&D and applied to any outstanding costs that remain unpaid after I leave D&D; any unused portion of this $50.00 deposit, after all costs have been covered, will be returned to me.
Applicant: Date:
Spouse: Date: