Staff Application

Personal Information

Name:*

First Middle Last

Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone:*

Cell Phone:*

Email:*

Gender:*

Male

Female

Age:*

Date of Birth:*

Place of Birth (City, State):*

Have you had any traffic citations and/or accidents in the past 3 years?*

Yes

If yes, please list date & reason for each citation/accident.*

Faith & Church

State briefly how you feel about your relationship with your church.*

Do you feel your home church would support you in this ministry via prayer and/or financial assistance? Explain.*

Church Denomination:*

Church Conference:*

Name of Congregation:*

Pastor's Name:*

First Last

Pastor's Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Pastor's Home Phone:*

Pastor's Cell Phone:*

Are you a born again Christian?*

Yes

How long (in years)?*

What made you want to become a Christian?*

Please share a brief testimony of your faith in Christ and spiritual journey.*

Name one or two persons of authority in your life and a thought on how you view those in authority.*

Occupational Experience

List below all positions in which you have received wages, including your present position. If a student or a recent graduate, include full-time jobs held for as long as two months, and part-time jobs held for as long as a school year.

Are you currently employed (earning wages)?*

Yes

Present Occupation*

Since:*

Contact Person:*

First Last

Daytime Phone:*

Duties/Skills Learned:*

May we contact your present employer?*

Yes

Have you previously been employed (earned wages)?*

Yes

Former Occupation /Job Title:*

Dates Employed:*

Contact Person:*

First Last

Daytime Phone:*

Duties/Skills Learned:*

Former Occupation /Job Title:*

Dates Employed:*

Contact Person:*

First Last

Daytime Phone:*

Duties/Skills Learned:*

Additional comments about training or experience.*

References

Personal references: Your pastor and employer will be contacted if applicable. List four additional references (supervisor, fellow employee, relative, or friend) that are in a position to judge your general character, motivation, and employment record. Do NOT include immediate family (brothers, sisters, or in-laws).

Reference 1 Name:*

First Last

Relation to Applicant:*

Cell Phone:*

Reference 2 Name:*

First Last

Relation to Applicant:*

Cell Phone:*

Reference 3 Name:*

First Last

Relation to Applicant:*

Cell Phone:*

Reference 4 Name:*

First Last

Relation to Applicant:*

Cell Phone:*

GOSPEL EXPRESS STATEMENT OF FAITH

We believe the Bible is the infallible Word of God, the final authority. We teach Jesus Christ crucified, risen, and coming again. Personally accepting Him as Lord and Savior is the only means of salvation.

STATEMENT OF COMMITMENT

By confession of Jesus Christ as my Savior and Lord, I am a born again believer. I commit myself to the control of the Holy Spirit and to the fellowship of believers. My signature testifies that, to the best of my awareness, the information in this application is accurately represented.

Digital Signature*

Please type your full legal name below. If no middle name, type "n/a".

First Middle Last

Today's Date:

Please upload a recent photo of yourself.*

A nice, modest, professional portrait photo is preferred.

Max. file size: 50 MB.

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