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-
Step
1
of 8
PERSONAL INFORMATION
Name
*
First
Middle
Last
Present Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Years In Current Residence:
*
Date of Birth:
*
Telephone Home:
*
Telephone Business:
Telephone Cell:
*
Email Address:
*
Email
Confirm Email
Personal Website Address (If Applicable)
Next
MARITAL INFORMATION
Marital Status:
*
Married
Separated
Divorced
Widowed
Single
If Married, Name of Your Spouse:
Is this your first Spouse?
Yes
No
NAME & AGES OF CHILDREN
First Child Name
First
Last
First Child Age
Second Child Name
First
Last
Second Child Age
Third Child Name
First
Last
Third Child Age
Fourth Child Name
First
Last
Fourth Child Age
Fifth Child Name
First
Last
Fifth Child Age
Next
MINISTRY SERVICE INFORMATION
Are Your Ordained?
*
Yes
No
Place of Ordination
*
Date of Ordination
*
Denomination
*
HAVE YOU EVER BEEN CONVICTED OF A FELONY?
*
Yes
No
If yes, please state the nature & circumstances of the bankruptcy:
HAVE YOU EVER FILED FOR BANKRUPTCY?
*
Yes
No
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:
Next
EDUCATION BACKGROUND
Type of School
*
College/University
Vocational or Technical School
Graduate School
Other
Name of School
*
Location (Complete Mailing Address)
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Number of Years Completed
*
Major & Degree
*
Type of School
*
College/University
Vocational or Technical School
Graduate School
Other
N/A
Name of School
Location (Complete Mailing Address)
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Number of Years Completed
Major & Degree
Type of School
*
College/University
Vocational or Technical School
Graduate School
Other
N/A
Name of School
Location (Complete Mailing Address)
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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?
Yes
No
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?
Yes
No
Have you ever been charged in civil or criminal proceedings with improprieties regarding children?
Yes
No
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?
Yes
No
Have you ever been suspended, discharged, or resigned in lieu of discharge from any position?
Yes
No
Upload any files related to the previous questions
Click or drag files to this area to upload.
You can upload up to 5 files.
Next
WORK EXPERIENCE
Please list your work and/or ministry experience for the past five years, beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary.
Name of Employer:
*
Name of Last Supervisor:
*
First
Last
Employer Contact Phone #
*
Employer Address:
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Your last Job Title:
*
Employment Date Beginning
*
Employment Date End
*
Reason for leaving (Be Specific):
*
May we contact this employer for a reference?
*
Yes
No
Name of Employer:
Name of Last Supervisor:
First
Last
Employer Contact Phone #
Employer Address:
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Your last Job Title:
Employment Date Beginning
Employment Date End
Reason for leaving (Be Specific):
May we contact this employer for a reference?
Yes
No
Name of Employer:
Name of Last Supervisor:
First
Last
Employer Contact Phone #
Employer Address:
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Your last Job Title:
Employment Date Beginning
Employment Date End
Reason for leaving (Be Specific):
May we contact this employer for a reference?
Yes
No
Next
LEADERSHIP ROLES
This position involves several roles. Consider the following list:
CHURCH LEADERSHIP RESPONSIBILITIES
*
General Pastoral Care
Oversight & coordination of day-today operations of the church
Preaching
Management & Administration
Youth Ministry
Training, Counseling, Teaching & Mentoring
Outreach to the wider community
Support and oversight of staff and volunteers (Leaders and coordinators of various activities)
Collaborative decision making in boards or committees
Personal professional development
Networking, facilitating partnerships, promoting unity
In which responsibly are you STRONGEST?
*
General Pastoral Care
Oversight & coordination of day-today operations of the church
Preaching
Management & Administration
Youth Ministry
Training, Counseling, Teaching & Mentoring
Outreach to the wider community
Support and oversight of staff and volunteers (Leaders and coordinators of various activities)
Collaborative decision making in boards or committees
Personal professional development
Networking, facilitating partnerships, promoting unity
Explain why this skill is your STRONGEST?
*
In which responsibly are you WEAKEST?
*
General Pastoral Care
Oversight & coordination of day-today operations of the church
Preaching
Management & Administration
Youth Ministry
Training, Counseling, Teaching & Mentoring
Outreach to the wider community
Support and oversight of staff and volunteers (Leaders and coordinators of various activities)
Collaborative decision making in boards or committees
Personal professional development
Networking, facilitating partnerships, promoting unity
Explain why this skill is your WEAKEST?
*
What evidence is there to confirm that you have strengths in these responsibilities?
*
Next
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
*
Reference Position
*
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Reference Position
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Name
*
First
Last
Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Reference Position
*
Name
*
First
Last
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Reference Position
*
Next
AGREEMENT (PLEASE READ CAREFULLY BEFORE SIGNING)
Please read carefully, check each box & sign below.
NOTE: Finalist must be willing to submit to both criminal background and credit checks. This Job Announcement is meant to describe the general nature and level of work to be performed. It is not intended to be constructed as an exhaustive list of all responsibilities, duties, and skills required for the job.
I certify that all the information in this application is accurate and complete to the best of my knowledge and I have not knowingly withheld any information that might adversely affect my chances for employment. I understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment.
I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with The General Baptist State Convention (GBSC) creates an actual or implied contract of employment. I understand that, if I accept employment with The GBSC, it will be on an at-will basis. This means that either The General Baptist State Convention or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.
Signature of Applicant
*
Clear Signature
Date / Time
*
Submit
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