UHBC SENIOR PASTOR APPLICATION

Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone

Email Address

Date of Birth

Employer

Dates Employed

Address

Job Title

Position

Full TimePart Time

Responsibilities

Supervisor

Supervisor Phone Number

Reason for leaving

Employer

Dates Employed

Address

Job Title

Position

Full TimePart Time

Responsibilities

Supervisor

Supervisor Phone Number

Reason for leaving

Employer

Dates Employed

Address

Job Title

Position

Full TimePart Time

Responsibilities

Supervisor

Supervisor Phone Number

Reason for leaving

What job or volunteer responsibilities have given you the most personal satisfaction and why?

Highest level of education

AssociatesBachelorsMastersDoctorate

High School/Secondary School

City, State

University/College

City, State

Vocational/Technical

City, State

Graduate School/Seminary

City, State

Additional Information

Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

Please detail how you know this person and how long you have had a relationship.

Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

Please detail how you know this person and how long you have had a relationship.

Name

Phone Number

Please enter a valid phone number.

Email

example@example.com

Please detail how you know this person and how long you have had a relationship.

Current residential address:

Previous residential address:

Other names by which you have been known (Nicknames, maiden names, aliases):

Marital Status

SingleMarriedWidowedDivorced

Spouse/Divorced Spouse's Name

Child #1:

Age

Child #2:

Age

Child #3:

Age

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

YesNo

Please explain

Have you ever been charged with a sexual offense, offense relating to children, or crime of violence?

YesNo

Please explain

Have you ever reported to any organization or registry for abuse or misconduct involving children?

YesNo

Please explain

Do you have any disciplinary action or investigation pending by an employer, other organization, professional association, or licensing body, for violence, sexual misconduct, or misconduct involving children?

YesNo

Please explain

Have you ever been disciplined or dismissed from any volunteer or employment position for anything mentioned above?

YesNo

Please explain

What interests you about this position, and why do you feel called to apply for the Senior Pastor position at UHBC?

What do you identify as the most important actions for new Christians, and how would you do them?

Describe your ministry philosophy or approach.

Tell us about the top two people who have influenced you the most spiritually and how have they done it?

Please upload a current resume and cover letter for the selection committee to review.

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Date

SENIOR PASTOR APPLICATION

EMPLOYMENT EXPERIENCE

EDUCATION AND BACKGROUND

REFERENCES

Reference #1

Reference #2

Reference #3

PERSONAL INFORMATION

CHILDREN:

LEGAL HISTORY

FREE RESPONSE QUESTIONS