East Taylorsville Baptist Church Associate Pastor of Discipleship and Outreach Application

Associate Pastor of Discipleship and Outreach Job Application

Please Fill Out the Form Below to Submit Your Job Application!
Personal Information
Name

First NameLast Name
Birth Date

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long have you lived at this address?
In what states have you held drivers licenses in the past 10 years?
In what states have you lived?
Home Phone Number
Format: (000) 000-0000.
Cell Phone Number
Format: (000) 000-0000.
Business Phone Number
Format: (000) 000-0000.
Email
example@example.com
Can you present proof of your legal right to live and work in this country?
Number of years lived in the U.S?
Family Information
Marital Status:
If Married, Legal Name of Spouse
Is this your and your Spouse's first marriage?
If No, Please explain.
Number of Children
Christian Background
Are You Ordained?
Date and Place of Ordination:
Denomination:
Have you been baptized by immersion?
Personal and Civil Background
Have you ever filed bankruptcy?
If yes, please state the nature and circumstances of the bankruptcy:
Have you ever been a party in a civil lawsuit?
If yes, please explain.
Have you ever been treated for alcohol or drug abuse?
If yes, please explain.
Have you ever been committed, voluntarily or otherwise, to a hospital for psychiatric care?
If yes, please explain.
Are you currently under continuing medical care for any condition that would impact your ability to carry out the responsibilities of a pastor?
If yes, please explain.
Have you signed legal documents that prevent you from discussing any employment, situation or problem with others?
If yes, please explain.
Criminal Background
Have you ever been charged of any offense other than a traffic violation?
If yes, please state the circumstances and dispositions.
Please note the traffic violations for which you have been charged.
Have you ever been charged of spousal or child abuse?
If yes, please explain.
Have you ever been charged in a criminal proceeding with improprieties regarding children?
Have you ever entered a plea of guilty, a plea of "no contest" 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 educational program for any crime other than a minor traffic offense?
Educational Background

Rows	NAME OF SCHOOL	LOCATION	NO. OF YEARS COMPLETED	MAJOR & DEGREE	GRADUATION DATE
COLLEGE/UNIVERSITY
VOCATIONAL or TECHNICAL SCHOOL
GRADUATE SCHOOL
OTHER

Additional Academic Experience (post secondary): Please list courses attempted and whether or not completed; P/T or F/T; dates; institutions and awards received.
Employment/ Background History
If you answer "Yes" to any of these questions in the following section, please attach a separate sheet indicating the nature of the suit, offense, date, court, and disposition or other appropriate explananation. A conviction record will not automatically be a bar to employment. Factors such as your age at the time of the crime, seriousness and nature of the violation, time elapsed since the crime, job relatedness, and subsequent rehabilitation will be considered.
Are you presently being investigated or under a procedure to consider your discharge for misconduct by your present employer?
Has any employer ever subjected you to disciplinary action, suspended, terminated, or asked you to leave a job or a volunteer position on the grounds of any unlawful sexual behavior, or violation of an employer's sexual misconduct or harrassment policy?
Have you ever been suspended, discharged, or resigned in lieu of discharge from any position?
Work Experience - Please list your work and/or ministry experience beginning with the most recent job held. If you were self-employed, give firm name. Attach additional sheets, if necessary.
Name of Employer:
Address:
Phone Number:
Your last job title:
Name and position of last supervisor:
Reason for leaving (be specific):
Employment Dates, From:

MonthDayYear
Date
Employment Dates, To:

MonthDayYear
Date
May we contact this employer for a reference?
Name of Employer:
Address:
Phone Number:
Your last job title:
Name and position of last supervisor:
Reason for leaving (be specific):
Employment Dates, From:

MonthDayYear
Date
Employment Dates, To:

MonthDayYear
Date
May we contact this employer for a reference?
Name of Employer:
Address:
Phone Number:
Your last job title:
Name and position of last supervisor:
Reason for leaving (be specific):
Employment Dates, From:

MonthDayYear
Date
Employment Dates, To:

MonthDayYear
Date
May we contact this employer for a reference?
Name of Employer:
Address:
Phone Number:
Your last job title:
Name and position of last supervisor:
Reason for leaving (be specific):
Employment Dates, From:

MonthDayYear
Date
Employment Dates, To:

MonthDayYear
Date
May we contact this employer for a reference?
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 Roles

Leadership of a church involves several roles.
Please describe your general background: ministry preferences and vision; and your special interests in ministry.

0/500
What are your ministry strengths? Explain.

0/500
What are your ministry weaknesses? Explain.

0/500
Professional References

Professional references will be contacted as part of the application process. However, no reference will be contacted until the applicant has been personally contacted and informed in advance. Do not include family members as references.
Give three qualified references to speak of your spiritual experience and Christian service. Include your current pastor as one of your references.
Please list the reference Full Name, Complete Address, Phone Number and Position
Agreement (Please read carefully before signing)

Please read carefully, initial each paragraph and sign below.
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 understand that neither the acceptance of this application, nor the subsequent entry into any type of employment relationship with East Taylorsville Baptist Church creates an actual or implied contract of employment. I understand that, if I accept employment with East Taylorsville Baptist Church, it will be on an at-will basis. This means that either East Taylorsville Baptist Church or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.
I consent for East Taylorsville Baptist Church to pull a credit report.
I consent for East Taylorsville Baptist Church to run a background check.
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Associate Pastor of Discipleship and Outreach Job Application

Personal Information

Family Information

Christian Background

Personal and Civil Background

Criminal Background

Educational Background

Employment/ Background History

Leadership Roles

Professional References

Agreement (Please read carefully before signing)