State Board Member Application Form

State Board Member Application
Welcome! Thank you for your interest in serving with Ignite 316.

We are a Christian, evangelistic organization. This application will ask you to share your personal experience as a born again believer in Jesus Christ.

All applicants must complete an extensive criminal background check.
Full Name *

First Name Middle Initial Last Name
Birthdate *

Month Day Year
Date
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email Address *
example@example.com
Phone Number *
References

At least two references are required with at least one point of contact.
Reference 1 Name (Pastor or Church Leader) *

First Name Last Name
Reference 1 Email
example@example.com
Reference 1 Phone Number
Please enter a valid phone number.
Reference 2 Name (Personal, non-family) *

First Name Last Name
Reference 2 Email
example@example.com
Reference 2 Phone Number
Please enter a valid phone number.
Reference 3 Name (Personal, non-family)

First Name Last Name
Reference 3 Email
example@example.com
Reference 3 Phone Number
Please enter a valid phone number.
Personal

Please complete the following sections.
Church you attend *
Briefly give a testimony of your salvation experience *
Please list all ministries in which you are involved *
Briefly describe your ongoing or daily plan for personal Bible study and spiritual growth *
Have you ever been arrested for any reason? *

Yes No
Type a question
Acknowledgement

Submission of this e-form is just one step in the board member process. By clicking submit, you certify that you understand the requirements for a background check and that all information you have provided is true and accurate.
Should be Empty:

State Board Member Application

References

Personal

Acknowledgement