Brenham Next - Youth Leadership Coach
Employment Application
Name
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First Name
Middle Name
Last Name
Phone Number
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Email
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example@example.com
Address
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Street Address
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Date of Birth
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Gender
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Speaking Language
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English
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Social Security Number:
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Are you a U.S. Citizen?
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Are you authorized to work in U.S.?
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Have you ever been convicted of a felony?
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No
If yes, explain.
Education:
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Rows
Name of School
Address
Years Attended
Did you graduate
Degree
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Please list 3 professional references:
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Full Name
Email
Years Known
Phone
Relationship
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2
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Previous Employment
Company Name:
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Phone:
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Address:
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Supervisor:
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Job Title:
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From - To
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Responsibilities:
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Reason for leaving:
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May we contact for reference?
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Yes
No
Company Name:
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Phone:
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Address:
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Supervisor:
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Job Title:
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From - To
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Responsibilities:
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Reason for leaving:
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May we contact for reference?
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Yes
No
Company Name:
*
Phone:
*
Address:
*
Supervisor:
*
Job Title:
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From - To
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Responsibilities:
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Reason for leaving:
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May we contact for reference?
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Yes
No
Position applying for:
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Missonary Counselor, Media Intern, ProJ?
Date Available:
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Month
-
Day
Year
Date
Have you ever worked for this organization before?
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Yes, JAM
Yes, Another Program
No
If so, when?
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How did you hear about BLAST?
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Are you a believer and follower of Jesus Christ, believing that He is your personal Lord and Savior?
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Yes
No
Please share how long you have been a follower of Christ and share your decision to follow Him:
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List and explain any experience you have with kids and/or youth. What did you enjoy most about these experiences?
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Have you ever worked for a ministry?
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Yes
No
If yes, which ministry and for how long?
What are 3 characteristics you enjoy about yourself?
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What are your strengths?
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What are your weaknesses?
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What are your long-term goals in life?
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What are your spiritual gifts, and how are you using them?
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Describe one major way you have grown in your spiritual walk since you became a Christian?
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What is the biggest struggle (spiritual, social, academic, etc.) you have dealt with this year, and what has that process taught you?
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What are you currently doing to grow and strengthen your spiritual walk? (discipleship, small group, bible study, etc.)
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What is the Gospel, and how would you explain it to a child?
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If you discovered a fellow staff member was not obeying JAM missionary counselor rules, how would you respond?
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Please describe your personal participation with each of the listed items. (Answering the following DOES NOT disqualify you from employment, so please be honest)
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Rows
Regularly
Occasionally
Not Really
Never
Done Before
Used to do Regularly
Alcohol
Illegal Drugs
Premarital Sexual Activity
Homosexuality
Anger/Temper
Cursing/Foul Language
Please describe your personal perspective on 3-4 of the items listed above:
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Returner Questions!
Thank you for considering to continue working for Brenham Next!
Tell me about yourself. / What are you truly passionate about?
Tell me about your faith, how did you come to know Jesus?
Tell me about your time working with Brenham Next previously?
What was your favorite part of last time you worked with us?
What did you struggle with most the last time you worked with us?
What did you learn most about yourself last time you worked with us?
What was your biggest struggle with living life alongside your fellow MC’s?
What is your definition of leadership? What are the qualities of a good leader?
As a returner, we would hope for you to have more leadership among the MC’s. What would this look like to you?
What irritates you about other people? How do you deal with it?
Do you have any questions for Brenham Next Leadership?
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List any reasons, if any, that you may need to break your contract for the semester:
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Are you CPR certified?
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Yes
No
If I am hired, and sign a contract for the school year, I consider my signature and my word binding:
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Yes
No
Do you agree to submit a background check as required upon employment?
Yes
No
Signature
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Date
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Month
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