NCBC PASTOR APPLICATION FORM

PASTOR APPLICATION FORM

New Calvary Baptist Church, 3975 Concord, Detroit, MI 48207
PERSONAL INFORMATION
DATE

MonthDayYear
Date
Name
Present address
How long have you been at this address?
Are you at least 18 yrs of age? (Y/N)
Phone Number*
Please enter a valid phone number.
Email address*
example@example.com
Personal website address (if available)
Are you a US citizen? (Y/N)
Are you willing to serve in a bivocational pastoral position? (Y/N)
Marital Status

MarriedSeparatedDivorcedWidowedSingle
If Married, Name of Spouse
Do you have any children? (Y/N)
Are you ordained? (Y/N)
Date of Ordination

MonthDayYear
Date
Place of Ordination
Denomination
Have you been baptized? (Y/N)
HAVE YOU EVER FILED FOR BANKRUPTCY? (Y/N) If yes, please state the nature and circumstances of the bankruptcy:
HAVE YOU EVER BEEN CONVICTED OF A FELONY? (Y/N) If yes, please state nature of the crime(s), when and where convicted and disposition of the case:
EDUCATIONAL BACKGROUND

	NAME OF SCHOOL	LOCATION(Complete mailing address)	NO. OF YEARS COMPLETED	MAJOR & DEGREES
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.
Please briefly describe your general background: summarize your ministry strengths and weaknesses; ministry preferences and vision; and your special interests in ministry.
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 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? (Y/N)
Have you ever been suspended, discharged, or resigned in lieu of discharge from any position? (Y/N)
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? (Y/N)
Have you ever entered a plea of guilty or a plea of “no contest” (nol cotendere), or has any court ever deferred further and placed you on probation or in a public service or education program for proceedings without entering a finding of guilty any crime other than a minor traffic offense? (Y/N)
Have you ever been charged in civil or criminal proceedings with improprieties regarding children? (Y/N)
WORK EXPERIENCE
Work Experience
Please list your work and/or ministry experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary.
Name of employer
Name of last supervisor
Address
Phone #
From
To
Your last job title
Reason for leaving (be specific):
May we contact this employer for a reference? (Y/N)
Name of employer
Name of last supervisor
Address
Phone #
From
To
Your last job title
Reason for leaving (be specific):
May we contact this employer for a reference? (Y/N)
Name of employer
Name of last supervisor
Address
Phone #
From
To
Your last job title
Reason for leaving (be specific):
May we contact this employer for a reference? (Y/N)
Name of employer
Name of last supervisor
Address
Phone #
From
To
Your last job title
Reason for leaving (be specific):
May we contact this employer for a reference? (Y/N)
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. Consider the following list (Note up to five).
CHURCH LEADERSHIP RESPONSIBILITIES:

General Pastoral Care.Oversight and coordination of day-to-day operations of the church.Preaching.Management and Administration.Youth Ministry.Training, Counseling, Teaching and Mentoring.Outreach to the wider community.Support and oversight of staff and volunteers (leaders and coordinators of various activities).Collaborative decision making inboards or committees.Personal professional development.Networking, facilitating partnerships, promoting unity.
In which of these are you strongest? Explain
In which of these are you weakest? Explain
What evidence is there to confirm that you have strengths in these?
PROFESSIONAL REFERENCES
Do not list family members or relatives for references.

Give three references who are qualified to speak of your spiritual experience and Christian service. List your current pastor first

Give three references who are qualified to speak of your professional training and experience. List your current or most recent supervisor first.
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 th at 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.
Initials
I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with New Calvary Baptist Church cr eates an actual or implied contract of employment. I understand that, if I accept employment with New Calvary Baptist Church, it will be on an at-will basis. This means that either New Calvary Baptist Church or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.
Initials
I authorize the release of national and state criminal records, as well as a credit history report to New Calvary Baptist Church. I authorize the schools, my former employers and people named in this application to releaseto New Calvary Baptist Church any information requested to verify the information on this application, and my education, character and employment history with them. I also give New Calvary Baptist Church permission to use the information acquired to conduct a background check on me. I understand that the offer of employment will be contingent upon the successful completion of a pre-employment 10-panel drug screen (including marihuana)
Initials
Signature of applicant

Clear
Date

MonthDayYear
Date
FINAL INSTRUCTIONS

Please upload the following documents along with additional explanations using the box below

·         Current Resume

·         Cover Letter

·         Copy of ministerial license and ordination certificate

·         Copy of degree(s)

·         Recent color photograph
File Upload

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PASTOR APPLICATION FORM

PERSONAL INFORMATION

EDUCATIONAL BACKGROUND

WORK EXPERIENCE

Work Experience

LEADERSHIP ROLES

PROFESSIONAL REFERENCES

AGREEMENT (PLEASE READ CAREFULLY BEFORE SIGNING)

Please Read Carefully, Initial Each Paragraph and Sign Below