Director of Missions & Program Engagement Application

Step 1 of 8

PERSONAL INFORMATION

Name *

First

Middle

Last

Present Address *

Address Line 1

Address Line 2

City

State

Zip Code

Years In Current Residence: *

Date of Birth: *

Telephone Home: *

Telephone Business:

Telephone Cell: *

Email Address: *

Confirm Email

Personal Website Address (If Applicable)

EDUCATION BACKGROUND

Type of School *

Name of School *

Location (Complete Mailing Address) *

Address Line 1

Address Line 2

City

State

Zip Code

Number of Years Completed *

Major & Degree *

Type of School *

Name of School

Location (Complete Mailing Address)

Address Line 1

Address Line 2

City

State

Zip Code

Number of Years Completed

Major & Degree

Type of School *

Name of School

Location (Complete Mailing Address)

Address Line 1

Address Line 2

City

State

Zip Code

Major & Degree

Number of Years Completed

Additional Academic Experience (Post-Secondary)

Please list courses attempted and whether completed; P/T or F/T; dates; institutions and awards received.

Please briefly describe your general background *

Summarize your ministry strengths and weaknesses; ministry preferences and vision; and your special interests in ministry.

If you answer “Yes” to any of the questions in the following section, please attach a separate sheet showing the suit, offense, date, court, and disposition or other appropriate explanation. A conviction record will not automatically be a bar to employment. Factors such as your age at the time of the crime, seriousness, and nature of the violation, the time elapsed since the crime, job-relatedness, and subsequent rehabilitation will be considered.]

Are you presently being investigated or under a procedure to consider your discharge for misconduct by your present employer?

Has any employer ever subjected you to disciplinary action, suspended, terminated, or asked you to leave a job or volunteer position on the grounds of any unlawful sexual behavior, or violation of an employer's sexual misconduct or harassment policy?

Have you ever been charged in civil or criminal proceedings with improprieties regarding children?

Have you ever entered a plea of guilty, a plea of “no contest” (nolo contendere), or has any court ever deferred further proceedings without entering a finding of guilty and placed you on probation or in a public service or education program for any crime other than a minor traffic offense?

Have you ever been suspended, discharged, or resigned in lieu of discharge from any position?

Upload any files related to the previous questions

Click or drag files to this area to upload. You can upload up to 5 files.

PROFESSIONAL REFERENCES

*DO NOT LIST FAMILY OR RELATIVES FOR REFERENCES.

Give THREE references who are qualified to speak of your spiritual experience and Christian service.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Reference Position *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Reference Position *

Give THREE references who are qualified to speak of your professional training and experience.

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Reference Position

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Reference Position *

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Reference Position *

PERSONAL INFORMATION

MARITAL INFORMATION

NAME & AGES OF CHILDREN

MINISTRY SERVICE INFORMATION

EDUCATION BACKGROUND

WORK EXPERIENCE

LEADERSHIP ROLES

PROFESSIONAL REFERENCES

AGREEMENT (PLEASE READ CAREFULLY BEFORE SIGNING)