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CONFIDENTIAL

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FORM A

Wahana Visi Indonesia is a Christian humanitarian organization working to create


lasting change in the lives of children, families and communities living in proverty in
the name of Jesus Christ. Inspired by our Christian values, Wahana Visi Indonesia is
dedicated to working with the most vulnerable people. Wahana Visi Indonesia serves
all people regardless of religion, race, ethnicity or gender.

All Christian staffs are encouraged to participate in Christian activities organized by


Wahana Visi Indonesia; observe personal conduct that is culturally sensitive and
compatible with Christian values and a high standard of professional ethics; and
strive to act in accordance with cultural sensitivities. In this regard, we would like to
provide additional information related to this.

Applicants are not required to complete sections that are not relevant or applicable.

Church membership, address and telephone number:


______________________________________________________________
GMIT Jemaat Kota Kipang
Lahilai Bissi Kopan, Lama City, Kupang City, East Nusa Tenggara, Indonesia
Telp: +62 380 821457
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Please, describe your own faith and beliefs.


______________________________________________________________

I believe Jesus as a savior is saved and only in God is Jesus saved


_________________________________________________________

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Christian testimony and experience: describe in what ways have you experienced
God working your life recently.
______________________________________________________________
I have experienced difficulties both in finance, sickness and work yet,
every time I pray to Jesus, there must be a solution and I feel the miracle
of God.
______________________________________________________________

______________________________________________________________

Please, explain five values that you consider to be most important in your life and
work.
______________________________________________________________
1. discipline
2. honesty
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3. responsible
4. humble
5. fear of God
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Wahana Visi Indonesia Offices normally have regular Spiritual Nurture activities, such
us devotion every morning, Chapel weekly/monthly, Bible Study, Christmas/Easter
celebration, Day of Prayer, etc.
Will this be a comfortable environment for you? Why or why not?
______________________________________________________________
yes, this is a comfortable environment for me. because I also do activities
before reading the words of God in the Bible. because the word of God is
the guideline of our lives as Christians
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Wahana Visi Indonesia has staffs from various denominations and faiths. How do you
feel about this?
______________________________________________________________
my feelings don't matter, because I also often work with colleagues of
different denominations and religions.
______________________________________________________________

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These are information about Wahana Visi Indonesia identity:

Vision & Mision


Wahana Visi Indonesia relief, development and advocacy work is based on a vision of
a world commited to the well-being of children. Wahana Visi Indonesia strives to
build thriving communities where peace and justice will prevail and all can enjoy
security, opportunity and contentment as stated in our vision

Values:
1. We are Christian
2. We are committed to the poor
3. We value people
4. We are stewards
5. We are partners
6. We are responsive
How do you think and feel about them?

______________________________________________________________
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my opinion, as Christians we must help our neighbors in need, both our
fellow religions. Lord Jesus taught that the law is primarily love, so with
that we should also help others not based on one religion with us.
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I certify that all the statements in this form and other information provides by me in
applying for this position are true and correct. I understand that any falsification or
willful omission shall be sufficient cause for dismissal or refusal of employment.

Signature of applicant _________________ Date:

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