Ministry Volunteers

1

Legal Name* This field is required.

First Name

Last Name

2

Phone Number* This field is required.

Area Code

Phone Number

3

Date of Birth* This field is required.

Date

4

Cell Phone Carrier* This field is required.

5

E-mail* This field is required.

6

Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

7

Social Media Accounts* This field is required.facebook, instagram, snapchat

8

Relationship Status* This field is required.

Married

Single

Dating

Engaged

9

Spouse's Name

10

Names of children and ages (if any)Samantha Perez 10

11

Ministry You Would Like to Volunteer in:* This field is required.

Prayer Ministry

Deliverance Ministry

12

Briefly Describe Your Relationship With Jesus Christ* This field is required.

13

Do you pray or speak in tongues?

YESNO

14

Have you been baptized in water in the Christian faith?* This field is required.

YESNO

15

Do you support any Church financially?* This field is required.

YESNO

16

What is your opinion about tithing and giving? Briefly explain your answer?* This field is required.

17

List Any Leadership/Volunteer Experience You Have Had:* This field is required.

18

List Any Training, Education or Spiritual Gifts That Have Shaped You To Serve In Ministry* This field is required.

19

List Any Other Church/Ministries In Which You Are Involved in:* This field is required.

20

Have You Ever Been Accused, Charged With, or Alleged to Have Committed Any Act of Neglect, Abuse, or Molestation Against A Minor? If Yes, Explain in Detail, Providing Date and Place of Incident:* This field is required.

21

Do you feel uncomfortable working with people of a certain race and / or nationality, sexual preference, or people with addictions (Mexicans, Hondurans, Colombians, blacks, asians, whites, gays, lesbians, drug addicts, etc..)? Identify who or what is uncomfortable and explain: * This field is required.

22

Describe any experiences you may have had working with people who have emotional, personal, and spiritual problems. How have you felt counseling and advising them?* This field is required.

23

Which of these values is most appealing to you?* This field is required.

Authentic Relaltionships

Biblical Authority

Humble Leadership

Intimacy with God

Community Social Work

24

Local Personal References (Must Be 18 Years Old and Not Related to You)

25

Reference Name* This field is required.

First Name

Last Name

26

Phone Number* This field is required.

Area Code

Phone Number

27

Reference Name* This field is required.

First Name

Last Name

28

Phone Number* This field is required.

Area Code

Phone Number

29

I hereby authorize Disciples to the Nations Ministries to verify all information contained in this application with any references, my past or present church/ministry, any other appropriate personnel at my past or present churches or other organizations, and any individuals. I authorize those who are contacted to disclose any and all information to Disciples to the Nations Ministries. I release all such persons or entities from liability that may result or arise from Disciples to the Nations Ministries collections of all such evaluations or information for its consideration of my application. Should my application be accepted, I agree to follow the policies of Disciples to the Nations Ministries and to refrain from unscriptural conduct in the performance of my services on behalf of the church. I understand that this personal information will be held confidential by the ministry staff.

I agree with the statement above

I disagree with the statement above

I am the parent/legal guardian of the applicant and I agree with the statement above

I am the parent/legal guardian of the applicant and I disagree with the statement above

30

Thank you for taking the time to provide us with this information, which is very valuable to us in this process of selecting ministry volunteers. We will be getting in contact with you soon to set up a meeting. Hope to see you then.