Team Member Application
Jesus Club
Date
*
-
Month
-
Day
Year
Date
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Birthdate
*
-
Month
-
Day
Year
Date
How long have you been attending the Rock?
*
Have you completed any Territories of Jesus Discipleship??
*
Territory 1
Territory 2
Territory 3
Territory 4
Territory 5
None
How long have you been a Christian?
*
Briefly share below how you became a Christian:
*
YOUR INTEREST/AVAILABILITY:
Please select which area or areas of Jesus Clubs you are interested in serving in?
*
Gatherer Team Member: To be the first face of Jesus Club to the students. By joyfully inviting all students to the Jesus Club, evangelizing to the students, and being on the prayer team at the end of every Jesus Club.
Experience Team Member: To help create the atmosphere in the Jesus Club location. By setting up the Jesus Club layout, establishing meaningful friendships with the students that attend Jesus Club, and serving pizza to the students.
Which day/s are you able to serve (during lunch time 11:30am-1:30pm)
*
Tuesdays
Wednesdays
Thursdays
Fridays
Any special scheduling notes/needs?
*
Why would you like to serve in the Jesus Clubs ministry?
*
Briefly explain any skills, strengths, or experience you may have:
*
What is your availability to meet with Nico the Jesus Clubs Director for an Interview?
*
MARITAL/FAMILY STATUS:
Are you married?
*
Yes
No
If yes, how long have you been married and what is your spouses name?
Do you have children? If yes, what are their names and ages?
CHURCH EXPERIENCE:
Previous Church:
*
Length Attended:
*
Ministries involved in:
*
Length of involvement:
*
Reason's for leaving:
*
PERSONAL REFERENCE #1 (please no employees or relatives)
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship:
*
How long have you known this reference?
*
PERSONAL REFERENCE #2
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship:
*
How long have you known this reference?
*
PERSONAL INFORMATION:
DO YOU BELIEVE....
*
Rows
YES
NO
UNSURE
In the virgin birth and deity of our Lord Jesus Christ?
Jesus died for our sins and was raised from the dead?
That man must be born again to receive eternal life?
In eternal reward for the believer (Heaven)?
In eternal damnation for the lost (Hell)?
In the absolute truth of the bible?
That devine healing is God's will for all who believe?
In the Baptism with the Holy Spirit?
Speaking in tongues is available to ALL believers?
PLEASE ANSWER THE FOLLOWING QUESTIONS:
*
Rows
YES
NO
UNSURE
Have you been born again?
Have you been filled with the Holy Spirit?
Have you received your spiritual language?
Have you been baptized in water?
Do you currently serve in a ministry at The Rock? And if yes, which ministry?
*
PERSONAL ATTRIBUTES AND HISTORY:
Do you have any physical conditions or limitations? If yes, please explain:
*
Have you been accused and/or convicted of a felony? If yes, please explain:
*
PLEASE ANSWER THE FOLLOWING QUESTIONS:
*
Rows
YES
NO
Have you ever been the victim of any physical, verbal, or sexual abuse?
Have you had any form of sexual contact within the last 5 years (other than spouse)?
Have you been involved in any form of homosexuality within the last 10 years?
Have you ever habitually viewed and/or been addicted to pornography?
If yes to any of the above, please explain:
PLEASE ANSWER THE FOLLOWING QUESTIONS:
*
Rows
YES
NO
Do you smoke?
Have you ever used illicit drugs?
Do you drink alcohol?
Do you currently use drugs
APPLICANT'S STATEMENT:
I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for NextGen Ministries as may be necessary in arriving at a decision regarding my involvement. I understand that false or misleading information given in my application or interview may result in discharge. I understand also, that I am required to abide by all rules and regulations of the ministry. I further certify that I have not been convicted of or have pled no contest or guilty to a crime.
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: