PDC Immersion Experience

Education
High School*
Dates Attended:
Did you graduate?*

YesNo
Did you attend Postsecondary school?*

YesNo
College/University (Undergraduate):
Dates Attended:
Major/ Degree
Did you graduate?

YesNo
College/University (Graduate):
Dates Attended:
Did you graduate?

YesNo
Major/ Degree
Please list any additional information that you believe may be useful in our evaluation of your application (example: computer literacy, software/hardware experience, special training programs, certificates, or courses you have participated in or are experienced in which are not reflected above):
Please sign below agreeing that you are willing and physically able to serve 35-40 hours a week in the ministry you are assigned to.

Ministry Experience
Have you participated in any other ministry training programs, Bible schools, Masters Commission, leadership schools, etc.? If so, please list, including approximate dates:*
Have you ever participated in any mission trips or local outreaches? If so, please list, including approximate dates:*
Have you ever been dismissed from any ministry or volunteer work? If so, please explain:*

EMPLOYMENT EXPERIENCE
Upload your resume

Cancelof
- Company Name:
- Position/ Title
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Supervisor:
- Company Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Description of Duties:
- Start Date
  
  MonthDayYear
  Date
- Are you still working here?
  
  YesNo
- End Date
  
  MonthDayYear
  Date
- Reason for leaving:
- Company Name:
- Position/ Title
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Supervisor:
- Company Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Description of Duties:
- Start Date
  
  MonthDayYear
  Date
- End Date
  
  MonthDayYear
  Date
- Reason for leaving:
- Company Name:
- Position/ Title
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Supervisor:
- Company Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Description of Duties:
- Start Date
  
  MonthDayYear
  Date
- End Date
  
  MonthDayYear
  Date
- Reason for leaving:

References

Please list THREE references below.
- Name:*
- Relationship*
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email Address:
  example@example.com
- Number of years known
- Address:
- Name:*
- Relationship*
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email Address:
  example@example.com
- Number of years known
- Address:
- Name:*
- Relationship*
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Email Address:
  example@example.com
- Number of years known
- Address:
- Should be Empty: