PGMBC PASTOR APPLICATION FORM

Type of School

Rows	NAME OF SCHOOL	LOCATION (Complete mailing address)	NO. OF YEARS COMPLETED	MAJOR & DEGREE
College/University
Vocational or Technical School
Graduate School
Other

Additional Academic Experience (post secondary)
Please list courses attempted and whether or not 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. Please share the number of years you've served as a pastor or associate pastor (please attach a separate sheet if necessary).

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
Address
Phone #
Format: (000) 000-0000.
From
To
Your last job title
May we contact this employer for a reference?
Reason for leaving (be specific):
Name of employer
Name of last supervisor
Address
Phone #
Format: (000) 000-0000.
From
To
Your last job title
May we contact this employer for a reference?
Reason for leaving (be specific):
Name of employer
Name of last supervisor
Address
Phone #
Format: (000) 000-0000.
From
To
Your last job title
May we contact this employer for a reference?
Reason for leaving (be specific):
Name of employer
Name of last supervisor
Address
Phone #
Format: (000) 000-0000.
From
To
Your last job title
May we contact this employer for a reference?
Reason for leaving (be specific):

What do you believe are the most important leadership qualities our new Pastor must possess?
Leadership of a church involves several roles. Consider the following list.

CHURCH LEADERSHIP RESPONSIBILITIES:
- General Pastoral Care
- Oversight and coordination of day-to-day operations of the church
- Preaching
- Management and Administration
- Youth Ministry
- Training, Counseling, Teaching and 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 of these are you strongest? Explain
In which of these are you weakest? Explain
What evidence is there to confirm that you have strengths in these?

Do not list family members or relatives for references.

Give three references who are qualified to speak of your spiritual experience and Christian service. List your current pastor first.
Name
Complete Address
Phone Number
Format: (000) 000-0000.
Position
Name
Complete Address
Phone Number
Format: (000) 000-0000.
Position
Name
Complete Address
Phone Number
Format: (000) 000-0000.
Position
Give three references who are qualified to speak of your professional training and experience. List your current or most recent supervisor first.
Name
Complete Address
Phone Number
Format: (000) 000-0000.
Position
Name
Complete Address
Phone Number
Format: (000) 000-0000.
Position
Name
Complete Address
Phone Number
Format: (000) 000-0000.
Position

Please Read Carefully, Check Each Paragraph and Sign Below
I certify that all the information in this application is accurate and complete to the best of my knowledge. I furthermore attest that 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.
I understand that New York is an "at-will" employment state, which refers to an employment agreement stating that employment is for an indefinite period and my be terminated either by employer or by employee.
I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Pleasant Grove Missionary Baptist Church creates an actual or implied contract of employment. I understand that, if I accept employment with Pleasant Grove Missionary Baptist Church, it will be on an at-will basis. This means that either Pleasant Grove Missionary Baptist Church or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.
Signature of Applicant
Attach supporting documents here (e.g., resume, certificates, etc.)

Cancelof
Should be Empty:

Pleasant Grove Missionary Baptist Church