Simple Job Application Form

Pastor Application Form

Pine Grove Community Baptist Church 737 Persimmon Fork Rd Ridgeway, SC 29180 (803) 635-4385
Personal Information
Full Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*
Personal Website Address (if applicable):
If hired, can you present proof of your legal right to live and work in this country?*

YesNo
Marital Status*

MarriedSeparatedDivorcedWidowedSingle
If Married, Name of Spouse:
Are you ordained?*

YesNo
Place of Ordination:
Date of Ordination:

MonthDayYear
Date
Denomination:
Have you ever filed for bankruptcy?

YesNo
If yes, please state the nature and circumstances of the bankruptcy:
Have you ever been convicted of a felony?*

YesNo
If yes, please state nature of the crime(s), when and where convicted and disposition of the case:
If you answer “Yes” to any of the questions in the following section, please attach a separate sheet indicating the nature of the suit, offense, date, court, and disposition or other appropriate explanation. A conviction record will not automatically be a bar to employment. Factors such as your age at the lone of the crime, seriousness and nature of the violation, time elapsed since the crime, job relatedness, and subsequent rehabilitation will be considered
Are presently being investigated or under a procedure to consider your discharge for misconduct by your present employer?*

YesNo
Has any employer ever subjected you to disciplinary action, suspended, terminated, or asked you to leave a job or volunteer position on the grounds of any unlawful sexual behavior, or violation of an employer’s sexual misconduct or harassment policy?*

YesNo
Have you ever been charged in civil or criminal proceedings with improprieties regarding children?*

YesNo
Have you ever entered a plea of guilty, a plea of “No contest” (Nolo contendere), or has any court ever deferred further proceedings without entering a finding of guilty and placed you on probation or in a public service or education program for any crime other than a minor traffic offense?*

YesNo
Have you ever been suspended, discharged, or resigned in lieu of discharge from any position?*

YesNo
Additional Documentation (If Needed)

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Educational Background
Education*
Additional Academic Experience (post secondary) Please list courses attempted and whether or not completed; P/T or F/T; dates; institutions and awards received.
Work Experience

Please list your work and/or ministry experience for the past five years beginning with your most recent job Experience held. If you were self-employed, give firm name. Attach additional sheets if necessary.
Name of Employer 1
Position
Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone
Employment Start Date

MonthDayYear
Date
Employment End Date

MonthDayYear
Date
Reason for leaving (be specific)
May we contact this employer for a reference?

YesNo
Name of Employer2
Position
Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone
Employment Start Date

MonthDayYear
Date
Employment End Date

MonthDayYear
Date
Reason for leaving (be specific)
May we contact this employer for a reference?

YesNo
Name of Employer 3
Position
Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone
Employment Start Date

MonthDayYear
Date
Employment End Date

MonthDayYear
Date
Reason for leaving (be specific)
May we contact this employer for a reference?

YesNo
Name of Employer 4
Position
Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone
Employment Start Date

MonthDayYear
Date
Employment End Date

MonthDayYear
Date
Reason for leaving (be specific)
May we contact this employer for a reference?

YesNo
Name of Employer 5
Position
Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Employer Phone
Employment Start Date

MonthDayYear
Date
Employment End Date

MonthDayYear
Date
Reason for leaving (be specific)
May we contact this employer for a reference?

YesNo
Leadership Roles
What evidence is there that you are able to operate cross-culturally and be at home in a multi-cultural community? What experience have you had in a multi-cultural community?
Leadership of a church involves several roles. Consider the following list (Note up to five.)Church Leadership Responsibilities

General Pastoral CareOversight and coordination of day-to-day operations of the churchPreachingManagement and AdministrationYouth MinistryTraining, Counseling, Teaching and MentoringOutreach to the wider communitySupport and oversight of staff and volunteers (leaders and coordinators of various activities)Collaborative decision-making in boards or committeesPersonal professional developmentNetworking, facilitating partnerships, promoting unity
In which of these are you strongest? Explain.
In which of these are you weakest? Explain.
Professional References
Reference 1
Reference 2
Reference 3
Attach Cover Letter. Give three references who are qualified to speak of your spiritual experience and Christian service. Give three references who are qualified to speak of your professional training and experience.

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AGREEMENT (PLEASE READ CAREFULLY BEFORE SUBMITTING)

Please Read Carefully. By submitting this form you agreeing to the following:
I certify that all the information in this application is accurate and complete to the best of my knowledge, and I have not knowingly withheld any information that might adversely affect my chances for employment. I understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment.*

I agreeI do not agree
I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Pine Grove Community Baptist Church creates an actual or implied contract of employment. I understand that, if I accept employment with Pine Grove Community Baptist Church, it will be on an at-will basis. This means that either Pine Grove Community Baptist Church or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.*

I agreeI do not agree
Should be Empty:

Pastor Application Form

Personal Information

Educational Background

Work Experience

Leadership Roles

Professional References

AGREEMENT (PLEASE READ CAREFULLY BEFORE SUBMITTING)