Application for Ministry

Your Mid-America Regional Minister*

Paul KochRon RoutledgePhil SniderDavid Woodard

Professional Classification Code (relating to your current field in Ministry) *

Current Place of Ministry*

Name of Congregation/Organization/Institution

Place of Ministry Location (City & State)*

Position with Place of Ministry*

Is this Position Staff or Volunteer?*

Staff PositionVolunteer Position

Position Start Date*

Date

Supervisor*

Supervisor's Phone Number*

Please enter a valid phone number.

Description of Position, including Duties & Responsibilities*

Church Membership (if different than Current Place of Ministry)

Educational Background*

Please provide a brief summary of your educational background. Are you currently pursuing higher education? If so, where; and when did you begin? Do you currently have a/any Degree(s) or Certification(s)? If so, from where; and when did you attend/graduate? Have you received any special awards or recognition related to your education and/or ministry?

Are you bi-vocational and also have other employment?*

YesNo

Additional Employer*

If you are bi-vocational, please list the Name of the Congregation/Organization/Institution.

Additional Employer Location *

City & State

Position with Additional Employer *

Start Date in Position with Additional Employer *

Professional Resume

Should you have more than one Resume, such as a separate Professional and Ministerial Resume, you can upload both.