Gleanings Staff Application

Gleanings Staff Application

Thank you for your interest in applying for a full-time staff position at Gleanings For The Hungry. Please take time to prayerfully consider your intentions and commitment to the Lord and Gleanings For The Hungry before you complete your application. Please read and answer each question carefully, then submit your application. Once your application is submitted, please provide two personal references completed by a YWAM leader, current employer, pastor, or elder. (Note: husbands and wives should complete separate applications.) If you have any questions about the Gleanings Staff role or the application process, please contact our office at info@gleanings.org, 559.591.5009. God bless you.
General Information
Photo of You

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Please choose a good quality photo of only you.
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Full Legal Name*

First NameMiddle NameLast Name
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Address (if different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Mobile Phone Number*
Please enter a valid phone number.
Other Phone Number
Please enter a valid phone number.
Work Phone Number
Please enter a valid phone number.
Birthdate*

MonthDayYear
Date
Sex*

FemaleMale
Passport Number*
Passport Date of Expiration

MonthDayYear
Date
Passport Place of Issue
Drivers License Number*
Drivers License Type
Drivers License State/Country Issued
Social Security Number*
Emergency Contact Name*

First NameLast Name
Emergency Contact Relationship*
Emergency Contact Phone Number*
Please enter a valid phone number.
Emergency Contact Email*
example@example.com

Family
Marital Status*

SingleEngagedMarriedWidowedDivorced/Separated
Name of Spouse (If Married)

First NameLast Name
Date of Marriage

MonthDayYear
Children: (Full Name, Date of Birth, Sex, Passport Number, Passport Expiration)
Example: Jane Smith, 3/3/2005, Female, A12345678, 11/4/2025
Parents' Names*
Parent Phone Number*
Please enter a valid phone number.
How does your family feel about your decision to apply for full-time Gleanings staff and missions work?*
If divorced/separated, please give a brief, relevant history.

Experience & Education
Have you completed high school/secondary school?*

YesNo
If not, up to what year did you complete?
High School Attended (School Name, City, State, Dates Attended, Degree)*
Example: Village Christian HS, Sun Valley, CA, 1994-1998, Diploma
College/University/Seminary Attended (School Name, City, State, Dates Attended, Degree)*
Example: Azusa Pacific Univ., Azusa, CA, 1998-2002, Bachelor of Arts in Education
Certificate Programs/Trade Schools Attended (School Name, City, State, Dates Attended, Certificate)*
Example: Le Cordon Bleu, Paris, FR, 2019-2021, Pastry
YWAM School Attended (Base, School, Dates Attended)*
Example: YWAM Los Angeles, DTS, Jan-June 2017
Have you ever served as YWAM staff?*

YesNo
If yes, list service (Base, Position, Dates, Supervisor's Name)
Example: YWAM Zurich, School Director, 2005-2011, Roger Ambauen
What languages do you speak?
Are you an ordained/licensed minister?

YesNo
If yes, by what church/denomination?
Describe any Christian ministry experience.
Describe any work/professional experience?
Describe any musical experience? (Indicate your proficiency for each)
List your skills and hobbies. (Indicate your proficiency for each)

Finances
Do you have monthly pledged support?*

YesNo
If yes, how much?
If you do not currently have monthly pledged support, how do you plan to support yourself, or raise financial support, if accepted on Gleanings staff?.
Are you carrying any financial debt?*

YesNo
If yes, please explain.
How would your debt interfere with your long term commitment?
Financial Support Through Gleanings: I acknowledge that Gleanings staff are required to pay a monthly staff fee, and I acknowledge that Gleanings withholds a 2% support processing fee for all financial support received through Gleanings For The Hungry.*

I Agree

Health & Medical
Do you have medical insurance?*

YesNo
Insurance Carrier
Policy Number
What does your policy cover?
Physical Health:

Good HealthModerate HealthPoor Health
Please explain, if not is "Good Health"
Other Health Information: Please list any information that would be helpful to health and medical personnel. (Allergies to medication, recent hospitalizations, etc.)
Allergies/Dietary Restrictions: Please list any information that would be helpful to our kitchen staff and/or health and medical personnel. (Allergies, food allergies, dietary restrictions/preferences, etc.)
Medication: Please list any medication you are currently taking or will be taking during your service at Gleanings. If none, type n/a.
Substance Abuse: Please explain any current or past experience you have of drug and/or alcohol abuse. If none, type n/a.
Disabilities: Do you have any physical impairments, handicaps, or health conditions that require special attention? If so, please explain. (All information is confidential between Gleanings leadership reviewing these applications.) If none, type n/a.
Learning Disabilities/Special Needs: Have you ever been diagnosed with a learning disability? Do you have any special needs? If so, please explain. (All information is confidential between Gleanings leadership reviewing these applications.) If none, type n/a.
Mental Health: Have you ever received psychiatric treatment or been diagnosed with a mental illness (i.e. depression, anxiety, self harm, etc.)? If so, please explain. (All information is confidential between Gleanings leadership reviewing these applications.) If none, type n/a.
Recent Trauma: Have you recently experienced any kind of trauma? If so, please explain. (All information is confidential between Gleanings leadership reviewing these applications.) If none, type n/a.
Disability Compensation: Do you now, or have ever received any compensation for disability from any source? If so, please explain. (All information is confidential between Gleanings leadership reviewing these applications.) If none, type n/a.
Consent for Treatment:

I, ________________(the undersigned), hereby agree to the performance of such treatment, anesthetics and operations as in the opinion of the attending physician are deemed necessary on:I do not consent to medical treatment.
Applicant's Signature for Consent for Treatment

Clear
Date of Signature for Consent for Treatment

MonthDayYear
Date
Release of Liability:

I, ________________(the undersigned), do hereby release Gleanings For The Hungry, its staff, agents and volunteer assistants from any liability whatsoever arising out of injury, damage, or loss which may be sustained by said person(s) during the course of involvement with Gleanings For The Hungry.
Applicant's Signature for Release of Liability

Clear
Date of Signature for Release of Liability

MonthDayYear
Date

Legal Information
Have you ever been convicted of a crime?

YesNo
If yes, please explain.
Are you involved in any current or pending lawsuits or legal proceedings?

YesNo
If yes, please explain.

References

In order to process your application we need two reference forms. Please give us the following information for your references. We will each person an online reference form to complete on your behalf.
YWAM DTS Leader*

First NameLast Name
YWAM DTS Leader Email*
example@example.com
YWAM DTS Leader Phone Number*
Please enter a valid phone number.
YWAM Supervisor*

First NameLast Name
YWAM Supervisor Email*
example@example.com
YWAM Supervisor Phone Number*
Please enter a valid phone number.
Pastor / Elder*

First NameLast Name
Pastor / Elder Email*
example@example.com
Pastor / Elder Phone Number*
Please enter a valid phone number.
Church Denomination*
Does your Pastor / Elder know you are applying for Gleanings staff?
Please describe your present relationship with your pastor / elder / home church.
Questions For Gleanings: Do you have any questions for Gleanings leadership?
Should be Empty:

Gleanings Staff Application

General Information

Family

Christian Life & Ministry

Experience & Education

Finances

Health & Medical

Legal Information

References