HIGH MIDDLE SCHOOL SCHOOL MINISTRY. volunteer application

Size: px
Start display at page:

Download "HIGH MIDDLE SCHOOL SCHOOL MINISTRY. volunteer application"

Transcription

1 HIGH SCHOOL MIDDLE SCHOOL MINISTRY volunteer application

2 Are you in? Students have a lot of questions, like who are my friends? How can I get along with my parents? What am I going to do when I grow up? As part of the Student Ministry team, you can help students answer these questions and build their relationship with Jesus. WHAT S THE PROCESS? We ll process your application. Once you ve submitted this application, our on-boarding team will process your background check, contact your references and keep you updated on the progress of your application. Observe. Shortly after you turn in your application, we ll contact you to observe in a specifi c area. You ll be serving alongside experienced volunteers who will show you the ropes. You may check out several areas until you fi nd the best fi t for you. You may begin observing before your application is fully processed, but please know, if you sign up to observe, we are counting on you. So please show up. Attend Student Ministry 101 Here, you ll get an overview of what goes on in Student Ministry. Student Ministry 101 meets at each site. Have a conversation. Before you join the team, talk with your site leader and have all of your burning questions about Student Ministry answered. Join a team. After your application has been processed, you will select a team. At this time, you ll be given instructions and guidelines specifi c to your team. Questions? Call and ask to speak to High School or Middle School staff or us at studentministry@crossroads.net.

3 APPLICATION GENERAL INFO LAST FIRST MIDDLE INITIAL SITE WHERE YOU ATTEND SERVICE MALE FEMALE DATE OF BIRTH SOCIAL SECURITY # PREVIOUS / MAIDEN FOR TAG ADDRESS STREET CITY ZIP PHONE CELL HOME EMPLOYER COMPANY POSITION WORK PHONE (IF YOU CAN RECEIVE CALLS AT THIS NUMBER) LIST S AND COUNTIES OF RESIDENCE FOR PAST SEVEN YEARS (OTHER THAN ABOVE) MARITAL STATUS SINGLE DIVORCED SEPARATED WIDOWED MARRIED SPOUSE S SPOUSE S GENDER: MALE FEMALE CHILDREN S S AND S

4 ABOUT YOU Because you will be a role model to students, we need to know more about you. Please answer the following questions. If your answer is yes to any of the questions, please explain. You may choose to discuss your answers privately with a member of the staff, rather than answer on this form. Answering yes will not automatically disqualify you. Have you ever been arrested, convicted of or pleaded no contest to any crime? Have you ever been concerned that you may have an addiction to drugs, alcohol, pornography, or other addiction; or has anyone suggested that you do? Have you ever been accused, alleged, investigated, charged or convicted of any act of neglecting, abusing, exploiting or molesting any child? Have you ever been a victim of any form of abuse? Have you ever been treated for or diagnosed with a psychiatric disorder? Currently, or in the past year, have you been sexually active outside of marriage? How long have you been attending Crossroads? What service do you attend? There are opportunities regardless of your spiritual orientation. Tell us where you are: I m exploring my faith. I m not sure. I m a Christ-follower. Please explain. What prompted you to fill out an application and check us out? Describe your perfect day off. What s your favorite candy?

5 SERVING OPPORTUNITIES WHAT MINISTRY ARE YOU INTERESTED IN SERVING? MIDDLE SCHOOL (MEETS DURING WEEKEND SERVICE) FOR SITE-SPECIFIC SERVICE TIMES, GO TO CROSSROADS.NET/MIDDLESCHOOL. HIGH SCHOOL (MEETS ON WEEKNIGHTS) FOR SITE-SPECIFIC MEETING TIMES, GO TO CROSSROADS.NET/HIGHSCHOOL. BIG (MONTHLY EVENT FOR ALL STUDENTS) FOR MORE INFO ABOUT BIG, GO TO CROSSROADS.NET/BIG. WHICH SITE WOULD YOU LIKE TO SERVE? OAKLEY FLORENCE MASON WEST SIDE WHAT AREAS MOST INTEREST YOU? (CHECK ALL THAT APPLY) SMALL GROUP LEADER ONE-ON-ONE HELPER WITH A STUDENT WHO HAS SPECIAL NEEDS MUSIC (MUSICIAN OR VOCALIST) TECH DURING SERVICE (LIGHTING, SOUND, AV) WELCOME NEW STUDENTS AND FAMILIES EVENT PLANNING (CREATIVE AND/OR LOGISTIC PLANNING, EXCECUTION OF EVENTS EVERY 4-6 WEEKS) ADMINISTRATIVE TASKS (DATA ENTRY, FILING, MAILING, ETC.) I LL DO ANYTHING WANT TO SERVE DIRECTLY WITH STUDENTS? WHAT AGE DO YOU PREFER? (CHECK ALL THAT APPLY) 6TH GRADE 7TH-8TH GRADE 9TH-10TH GRADE 11TH-12TH GRADE

6 PERSONAL REFERENCES List three adults you have known for at least one year, who are not related to you and have a definite knowledge of your character and ability to work with students (e.g. pastor, close friend, teacher, and/or employer). LENGTH OF TIME KWN PHONE: HOME / MOBILE / WORK NATURE OF ASSOCIATION OCCUPATION LENGTH OF TIME KWN PHONE: HOME / MOBILE / WORK NATURE OF ASSOCIATION OCCUPATION LENGTH OF TIME KWN PHONE: HOME / MOBILE / WORK NATURE OF ASSOCIATION OCCUPATION The information contained in this application is true. I authorize any reference or church listed here to give you any information (including opinions) that they may have regarding my character and fitness for working with kids. By signing this form, I also consent to a complete criminal background check now and in the future. I understand my involvement with Crossroads Student Ministry is influenced by the information provided by all these sources. I release from liability for damages any person or organizations identified by me in this application, and waive my right to inspect any written material from contact with them or from the criminal background check. I have carefully read the foregoing release and know the contents thereof and I sign this release as my own free act. This is a legally binding agreement which I have read and understand. SIGNATURE DATE After you complete this, please drop it off at your site s Info Center location or mail it to: Crossroads Oakley: 3500 Madison Road, Cincinnati, OH Crossroads Florence: 828 Heights Blvd, Florence, KY Crossroads Mason: 4836 Tylersville Road, Mason, OH Crossroads West Side: 8575 Bridgetown Road, Cleves, OH 45002

7 WHAT AM I COMMITTING TO? Time commitment varies depending on the serving role you choose. Because consistency is important when building relationships with students, we ask that you serve 80% of the time (four out of fi ve weekends). For weekend roles, volunteers arrive in their serving area 30 minutes before the service starts. Also, all volunteers should attend a service in the auditorium. Serving should not take the place of a weekend service but be in addition to it. We re all in different places in our journey. And that s okay. But we ask that those who work directly with students be Christ-followers. CAN STUDENTS VOLUNTEER? Realizing that there are other great opportunities for growth at Crossroads, we require that all student volunteers also attend their respective service at Crossroads in addition to serving. To be a student volunteer, you must be four grades older than those you are serving. For example, a student in 10th grade could serve in 6th grade, but not 7th or 8th. I m seeing maybe God is real and maybe, if he is, he may not be so scary. -Quincey I used to think that religion was for adults to understand. I come to HS because it helps clarify God s plan for my life. -Simone HS helps me really think about how the message relates to my life and how to apply the lesson to how I think or live. -Mallory My mom thought it would be a good idea for me to come, but I m hoping to get a closer relationship with Jesus. -William

Youth Leader. Application

Youth Leader. Application Youth Leader Application Adult Youth Leader To assist in the operations of youth services and in providing a consistent weekend service that will capture the youth s attention and challenge them to become

More information

COLE COMMUNITY CHURCH YOUTH MINISTRY VOLUNTEER APPLICATION

COLE COMMUNITY CHURCH YOUTH MINISTRY VOLUNTEER APPLICATION COLE COMMUNITY CHURCH This application is to be completed by all workers who are seeking a volunteer ministry position at Cole Community Church. This is not an employment application form. It is first,

More information

EMPLOYMENT/VOLUNTEER APPLICATION BUCKHEAD BAPTIST CHURCH 4100 ROSWELL RD. NE ATLANTA, GA 30342 404-255-5112 WWW.BUCKHEADBAPTIST.

EMPLOYMENT/VOLUNTEER APPLICATION BUCKHEAD BAPTIST CHURCH 4100 ROSWELL RD. NE ATLANTA, GA 30342 404-255-5112 WWW.BUCKHEADBAPTIST. : Date: First Middle Last : City/State/ZIP: Home : Business : SSN: Email: Date of Birth: Facebook : LinkedIn : Twitter : Website/Blog : for which you are applying: PREVIOUS EMPLOYMENT/VOLUNTEER EXPERIENCE

More information

I am interested in: (Circle all that apply) Children s Ministry Middle School Ministry High School Ministry

I am interested in: (Circle all that apply) Children s Ministry Middle School Ministry High School Ministry This application is to be completed by all Interns at Long Hollow each year. This will help our church family provide a safe and secure environment for all preschool, children, and youth who participate

More information

Youth Ministry Volunteer Staff: Application Background Check Guidelines

Youth Ministry Volunteer Staff: Application Background Check Guidelines S T. M ARK S LU THERAN C H U RCH Youth Ministry Volunteer Staff: Application Background Check Guidelines This application is to be completed by all Youth Ministry staff and volunteers. It is part of our

More information

Youth Ministry Adult Staff Application

Youth Ministry Adult Staff Application Youth Ministry Adult Staff Application Youth Ministry Purpose Statement: Our purpose is to share the TRUTH by building RELATIONSHIPS and using our GIFTS to SERVE God. Through God s grace we will continue

More information

2013/2014 CHILDREN S MINISTRY LEADER Information and Application Packet

2013/2014 CHILDREN S MINISTRY LEADER Information and Application Packet 2013/2014 CHILDREN S MINISTRY LEADER Information and Application Packet BECOMING A CHILDREN S MINISTRY LEADER EXPRESS INTEREST Receive Children s Ministry Leader Information Packet This packet gives you

More information

Families [children & youth] Volunteer Application

Families [children & youth] Volunteer Application Families [children & youth] Volunteer Application So...You want to jump in and serve? It s as easy as 1, 2, 3... Here s what you need to do to begin the process: 1. Decide what ministry you are interested

More information

Retreat Ministry Hospitality Team. Application

Retreat Ministry Hospitality Team. Application 2014 2015 Retreat Ministry Hospitality Team Application The mission of GENEVA Camp & Retreat Center is to create an environment where the presence of God is experienced, the love of Christ is demonstrated,

More information

School of Kingdom Ministry Application

School of Kingdom Ministry Application School of Kingdom Ministry Application Both the application and recommendation need to be turned in by the deadline set by the location leader. School Year Information Please let us know what location

More information

METRO MENTORING. Mentor Application

METRO MENTORING. Mentor Application Mentor Application Personal Information Name: Date: City: State: Zip: Home phone: Work phone: Cell phone: Email Address: Social Sec. #: Date of Birth / / Age: Gender: Male Female Ethnicity: White: Hispanic:

More information

Single Mom s House Application

Single Mom s House Application Single Mom s House Application The Single Mom s House is a ministry of Liberty Bible Church in Chesterton, Indiana. This is a place where you can experience growth and restoration as you move toward self

More information

Thank you so much for your interest in becoming a Mentor for Hope House of Colorado. We are looking forward to working with you!

Thank you so much for your interest in becoming a Mentor for Hope House of Colorado. We are looking forward to working with you! Thank you so much for your interest in becoming a Mentor for Hope House of Colorado. We are looking forward to working with you! Our Mentoring Program is designed to help a teem mom become more self-sufficient

More information

Christian Fellowship of Love Baptist Church Detroit, Michigan PASTOR JOB DESCRIPTION

Christian Fellowship of Love Baptist Church Detroit, Michigan PASTOR JOB DESCRIPTION Holding fast the faithful word as he has been taught, that he may be able, by sound doctrine, both to exhort and convict those who contradict. Titus: 1-9 (NKJV). Christian Fellowship of Love Baptist Church

More information

41. Name and address of your physician:

41. Name and address of your physician: Providence Biblical Counseling Ministry - Personal Data Inventory Identification Data: 1. Name: 2. Phone: 3. Date: 4. Address/City/Zip: 5. Occupation: 6. Business Phone: 7. Cell Phone: 8. Email: 9. Birth

More information

Christ s Grace compels us to RISK ALL, LOVE ALL to make His name great.

Christ s Grace compels us to RISK ALL, LOVE ALL to make His name great. Prospective Youth Leader Letter MDPC Youth Ministry Volunteer Application Driver s Application Volunteer Adult Youth Leader Release Form Copy of Driver s License Copy of Car Insurance Copy of Medical Insurance

More information

MINISTRY SCHOOL APPLICATION FORM

MINISTRY SCHOOL APPLICATION FORM MINISTRY SCHL APPLICATIN FRM INFRMATIN First Name: Last Name: Birth Date: Email Address: Phone Number: Address: City, State, Zip: PERSNAL Gender: Male Female Marital Status: Single Married Divorced Widowed

More information

CSM. Celebration Student Ministry Volunteer Application Packet

CSM. Celebration Student Ministry Volunteer Application Packet CSM Celebration Student Ministry Volunteer Application Packet Celebration Church Blountville, TN Dear Potential Youth Leader, I M GLAD YOU RE INTERESTED IN WORKING WITH OUR STUDENT MINISTRY! Our church

More information

CRAVE Student Ministry Volunteer Leadership Covenant

CRAVE Student Ministry Volunteer Leadership Covenant CRAVE Student Ministry Volunteer Leadership Covenant You then, my son [and daughters], be strong in the grace that is in Christ Jesus. And the things you have heard me say in the presence of many witnesses

More information

FHCS Teaching Application

FHCS Teaching Application FHCS Teaching Application Position desired: Application date: Date available: Full time: Part time: Your interest in Flint Hills Christian School is appreciated. We invite you to fill out this initial

More information

Youth Ministry Leader Application Packet

Youth Ministry Leader Application Packet Youth Ministry Leader Application Packet Dear Potential Youth Ministry Leader, I M THRILLED YOU ARE INTERESTED IN BEING A SIGNIFICANT PART OF OUR MIDDLE OR HIGH SCHOOL MINISTRY! At Church of the Open Door

More information

The Grove Small Group Leadership Application

The Grove Small Group Leadership Application The Grove Small Group Leadership Application Name: Address: Phone: Email Address: 1. On the back of this sheet please share your personal story about how you came to faith in Christ (before, after and

More information

PISTIS SCHOOL OF MINISTRY 2311 Medical District Drive Dallas, TX 75235 P: 214-559-6121 F: 214-559-6135

PISTIS SCHOOL OF MINISTRY 2311 Medical District Drive Dallas, TX 75235 P: 214-559-6121 F: 214-559-6135 SPOUSAL INFORMATION PISTIS SCHOOL OF MINISTRY 2311 Medical District Drive Dallas, TX 75235 P: 214-559-6121 F: 214-559-6135 Will your spouse or fiancé(e) apply to the School of Ministry (SOM) this September?

More information

Admission Forms. Texas Bible College 3900 College Drive Lufkin, Texas 75901. Office (936) 633-7799 Fax (936) 699-2600

Admission Forms. Texas Bible College 3900 College Drive Lufkin, Texas 75901. Office (936) 633-7799 Fax (936) 699-2600 Admission Forms Texas Bible College 3900 College Drive Lufkin, Texas 75901 Office (936) 633-7799 Fax (936) 699-2600 Steps for Admission: Step 1: Complete the Application for Admission. Step 2: Mail the

More information

Ambassadors For Christ Youth Ministries. Mentor Application Please Type or Print

Ambassadors For Christ Youth Ministries. Mentor Application Please Type or Print Mentor Application Please Type or Print Date of Application First Name Middle Name Last Name HOME INFORMATION: Home Address City State Zip Code ( ) ( ) Home telephone # Home fax # Best time to contact

More information

Rahab s Rope Application Instructions:

Rahab s Rope Application Instructions: We are so excited to have you join our work in India. The first step in the process for any volunteer is to fill out the following application in full. Rahab s Rope Application Instructions: Complete the

More information

Teacher Application 113 Oakwood Street, Chickamauga, GA 30707 706-375-7247

Teacher Application 113 Oakwood Street, Chickamauga, GA 30707 706-375-7247 Teacher Application 113 Oakwood Street, Chickamauga, GA 30707 706-375-7247 Position Desired Personal Information Application Date / / Full Name Last First Middle Maiden (if applicable) Physical Address

More information

INITIAL TEACHER APPLICATION

INITIAL TEACHER APPLICATION INITIAL TEACHER APPLICATION Your interest in Hope Christian Academy is appreciated. We invite you to fill out this initial application and return it to our office. If an opening occurs for which you may

More information

150 Fountains Blvd Madison, MS 39110 601-898-4947

150 Fountains Blvd Madison, MS 39110 601-898-4947 150 Fountains Blvd Madison, MS 39110 601-898-4947 Welcome to The Center for Hope & Healing! CHH is a ministry of Broadmoor Baptist Church aimed at promoting emotional, relational, and spiritual health

More information

Biblical Counseling General Intake Form Personal History and Problem Evaluation

Biblical Counseling General Intake Form Personal History and Problem Evaluation Biblical Counseling General Intake Form Personal History and Problem Evaluation Identification Data Name: Phone: Date: Address: Occupation: Business Phone: Gender: Date Of Birth: Age: Education: Last Grade

More information

All Foster / Adoptive Parent Applicants must complete the following prior to Becoming a Licensed Homebound Parent

All Foster / Adoptive Parent Applicants must complete the following prior to Becoming a Licensed Homebound Parent All Foster / Adoptive Parent Applicants must complete the following prior to Becoming a Licensed Homebound Parent 1. Please completely fill out your foster parent applications, if you have any questions

More information

APPLICATION FOR ADMISSION

APPLICATION FOR ADMISSION APPLICATION FOR ADMISSION Thank you for your interest in the Lifepoint Leadership College. If you have any questions, please contact our staff at leadershipcollege@lifepointnow.com. Additional information

More information

Petition for Alien Fiancé(e) Department of Homeland Security U.S. Citizenship and Immigration Services. Fee Stamp. Mandatory Waiver.

Petition for Alien Fiancé(e) Department of Homeland Security U.S. Citizenship and Immigration Services. Fee Stamp. Mandatory Waiver. Petition for Alien Fiancé(e) Department of Homeland Security U.S. Citizenship and Immigration Services USCIS Form I-129F OMB. 1615-0001 Expires 06/30/2016 For USCIS Use Only Case ID Number A-Number G-28

More information

TV/Radio: Agency: Newspaper: Family/Friend: Referred By:

TV/Radio: Agency: Newspaper: Family/Friend: Referred By: WWW.CASA-SATX.ORG P: 210.225.7070 F: 210.225.7040 406 SAN PEDRO, SAN ANTONIO, TX 78212? Please prioritize using (1, 2, & 3) your preference in joining classes. How did you hear about CASA? CASA Website

More information

Employment Application. Name: Date: Phone: Cell: Fax: E-Mail: Address: (Street) (City) (State) (Zip)

Employment Application. Name: Date: Phone: Cell: Fax: E-Mail: Address: (Street) (City) (State) (Zip) Employment Application Name: Date: Phone: Cell: Fax: E-Mail: Address: (Street) (City) (State) (Zip) Birthplace: Position Sought: Days Available: M T W TH F (circle days) Have you ever been convicted of

More information

Children s Advocacy Center for Denton County Community Outreach Coordinator Job Position Duties & Responsibilities Effective 1/1/14

Children s Advocacy Center for Denton County Community Outreach Coordinator Job Position Duties & Responsibilities Effective 1/1/14 Children s Advocacy Center for Denton County Community Outreach Coordinator Job Position Duties & Responsibilities Effective 1/1/14 Reports To: Position Overview: Development Director CACDC is seeking

More information

Application for Admission

Application for Admission Application for Admission Application Checklist All applicants must submit the following to complete the application process: $35 Application Fee Photograph Pastoral Recommendation Personal Recommendation

More information

Client Intake Information. Client Name: Home Phone: OK to leave message? Yes No. Office Phone: OK to leave message? Yes No

Client Intake Information. Client Name: Home Phone: OK to leave message? Yes No. Office Phone: OK to leave message? Yes No : Chris Groff, JD, MA, Licensed Pastor Certified Sex Addiction Therapist Candidate 550 Bailey, Suite 235 Fort Worth, Texas 76107 Client Intake Information Client Name: Street Address: City: State: ZIP:

More information

Teacher Application. Date of application Can you submit verification of your legal right to work in the Applying for: United States?

Teacher Application. Date of application Can you submit verification of your legal right to work in the Applying for: United States? Whittier Christian High School Mailing Address: P. O. Box 1307, Whittier CA 90609 Street Address: 501 N. Beach Blvd., La Habra CA 90631 Telephone: (562) 694-3803 Fax: (562) 697-1673 Website: www.wchs.com

More information

Expectations & Requirements of MYC & MSC 2016 Smal Group Leaders - The selection process of smal group leaders is composed of three major elements:

Expectations & Requirements of MYC & MSC 2016 Smal Group Leaders - The selection process of smal group leaders is composed of three major elements: The youth who attend Montreat Youth & Middle School Conferences tell us that they love small group - a place where they can fit right in and share their journey of faith with their peers. They need outstanding

More information

8 Wakeman Rd Fairfield, CT 06824 (203) 255-5078

8 Wakeman Rd Fairfield, CT 06824 (203) 255-5078 Southern Connecticut Christian Counseling Center, Inc. dba R E N E W C O U N S E L I N G A S S O C I A T E S Christian therapists committed to serving you, your family, and your community 8 Wakeman Rd

More information

YOUTH CENTER MENTORING PROGRAM Making a Difference through Adults in Action

YOUTH CENTER MENTORING PROGRAM Making a Difference through Adults in Action PERSONAL INFORMATION Name: Date: Email: Phone Nos: MOBILE PHONE WORK PHONE Social Security No: (used for background check only) Date of Birth Gender: Male Female MO/DAY/YEAR Emergency: CONTACT NAME PHONE

More information

Behavioral Health Consulting Services, LLC

Behavioral Health Consulting Services, LLC www.bhcsct.org infohealth@bhcsct.org 46 West Avon Road 322 Main St. 530 Middlebury Road Suite 202 Suite 1-G Suite 103 B Avon, CT 06001 Willimantic, CT 06226 Middlebury, CT 06762 Office phone- 1-860-673-0145

More information

PERSONAL RECOVERY PROGRAM INTAKE APPLICATION

PERSONAL RECOVERY PROGRAM INTAKE APPLICATION Attention: Intake Coordinator 1801 S. 35 th Ave Phoenix, AZ 85009 Phone: (602) 346-3360; Fax: (602) 233-1329 phoenixrescuemission.org PERSONAL RECOVERY PROGRAM INTAKE APPLICATION Thank you for taking this

More information

Hose of South Texas, Inc.

Hose of South Texas, Inc. Hose of South Texas, Inc. PLEASE PRINT ALL APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS *Please fill out the following application and email to info@hose-etc.com PLEASE COMPLETE PAGES 1-5. DATE Name Last

More information

Child and Home Study Associates

Child and Home Study Associates Child and Home Study Associates 1029 North Providence Road 242 N. James St., Suite 202 Media, Pennsylvania 19063 Wilmington, Delaware 19804 (610) 565-1544 FAX (610) 565-1567 (302) 475-5433 APPLICATION

More information

Petition for Alien Fiancé(e)

Petition for Alien Fiancé(e) Petition for Alien Fiancé(e) Department of Homeland Security U.S. Citizenship and Immigration Services USCIS Form I-129F OMB. 1615-0001 Expires 06/30/2016 Initial Receipt Resubmitted For USCIS Use Only

More information

Easy Does It, Inc. Transitional Housing Application

Easy Does It, Inc. Transitional Housing Application Easy Does It Inc. of Reading and Leesport Housing Programs Easy Does It, Inc. Transitional Housing Application Welcome Thank you for applying to Easy Does It, Inc. ( EDI ) a non-profit charitable organization

More information

College Undergraduate Degree

College Undergraduate Degree College Undergraduate Degree ADMISSION APPLICATION Applicant s Checklist Have all appropriate questions been answered? Has the application fee been sent to TCBS? Address listed above. (The fee is $40)

More information

Registered Youth Worker Process

Registered Youth Worker Process Greater Pacific Northwest USA Mission Center Registered Youth Worker Process Community of Christ Official Church Policy Effective January 1, 1998 Only registered youth workers will be used in the church's

More information

Student Leadership Application

Student Leadership Application Student Leadership Application Youth Ministry Purpose Statement: Our purpose is to share the TRUTH by building RELATIONSHIPS and using our GIFTS to SERVE God. Through God s grace we will continue to grow

More information

Lighthouse Christian School

Lighthouse Christian School AN ACCREDITED CHRISTIAN SCHOOL PK 12 TH 5100 Blue Hole Road Antioch, Tennessee 37013 615-331-6286 615-331-2491 (fax) Lighthouse Christian School TEACHER APPLICATION Let your light so shine before men that

More information

RHEMA BIBLE TRAINING COLLEGE

RHEMA BIBLE TRAINING COLLEGE RHEMA BIBLE TRAINING COLLEGE Mailing Address: P.O. Box 50126, Tulsa OK 74150-0126 Street Address: 1025 W. Kenosha, Broken Arrow, OK 74012 FOR OFFICE USE ONLY PC ED AF A Application for: 2nd Year 3rd Year

More information

PERSONNEL SERVICES Form 4120 Employment Employment Application - Certificated Staff LAQUEY R-V APPLICATION FOR A CERTIFICATED POSITION

PERSONNEL SERVICES Form 4120 Employment Employment Application - Certificated Staff LAQUEY R-V APPLICATION FOR A CERTIFICATED POSITION PERSONNEL SERVICES Form 4120 Employment Employment Application - Certificated Staff LAQUEY R-V APPLICATION FOR A CERTIFICATED POSITION The School District considers applicants for all positions without

More information

Doctor of Ministry in Expository Preaching Application Instructions. Application Foundations. Application Requirements. Application Deadlines

Doctor of Ministry in Expository Preaching Application Instructions. Application Foundations. Application Requirements. Application Deadlines Doctor of Ministry in Expository Preaching Application Instructions By Telephone: 901.757.7977 or toll free 1.800.843.2241 or fax 901.757.1372 Internet and Email: www.uu.edu/dmin and dmin@uu.edu Mailing

More information

Salt Creek Baptist Church. Associate Pastor of Youth Ministries Pastor Application Packet

Salt Creek Baptist Church. Associate Pastor of Youth Ministries Pastor Application Packet Salt Creek Baptist Church Associate Pastor of Youth Ministries Pastor Application Packet 2 Dear Applicant, Thank you for you interest in our opening. The Associate Pastor of Youth Ministries is an integral

More information

TEACHING APPLICATION FORM

TEACHING APPLICATION FORM E CHRISTIAN GEORGE SCHOOL ST O D ST GEORGE CHRISTIAN SCHOOL TEACHING APPLICATION FORM I N G R M U A T POSITION YOU ARE APPLYING FOR.. Primary Secondary Full Time Part Time Casual PERSONAL INFORMATION (Please

More information

THE REHABILITATION CENTER 1439 BUFFALO STREET OLEAN, NEW YORK 14760 APPLICATION FOR EMPLOYMENT

THE REHABILITATION CENTER 1439 BUFFALO STREET OLEAN, NEW YORK 14760 APPLICATION FOR EMPLOYMENT THE REHABILITATION CENTER 1439 BUFFALO STREET OLEAN, NEW YORK 14760 APPLICATION FOR EMPLOYMENT APPLICANTS ARE CONSIDERED FOR ALL POSITIONS WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN,

More information

2014 PERSONAL HISTORY QUESTIONNAIRE

2014 PERSONAL HISTORY QUESTIONNAIRE Department of Safety and Security 6054 South Drexel Avenue Chicago, Illinois 60637 2014 PERSONAL HISTORY QUESTIONNAIRE Applicant Name: Instructions Applicants for police officer positions at The University

More information

CATHOLIC CHARITIES OF BALTIMORE 2601 N. Howard Street, Suite 200 Baltimore, MD 21218 (410) 659-4050

CATHOLIC CHARITIES OF BALTIMORE 2601 N. Howard Street, Suite 200 Baltimore, MD 21218 (410) 659-4050 CATHOLIC CHARITIES OF BALTIMORE 2601 N. Howard Street, Suite 200 Baltimore, MD 21218 (410) 659-4050 PRELIMINARY APPLICATION FOR INTERNATIONAL ADOPTION SERVICES SINGLE APPLICANT Please enclose a non-refundable

More information

SPECIAL VOLUNTEER DENTAL LICENSE WEST VIRGINIA BOARD OF DENTAL EXAMINERS APPLICATION

SPECIAL VOLUNTEER DENTAL LICENSE WEST VIRGINIA BOARD OF DENTAL EXAMINERS APPLICATION FOR OFFICE USE ONLY AADE ClearingHouse SPECIAL VOLUNTEER DENTAL LICENSE WEST VIRGINIA BOARD OF DENTAL EXAMINERS APPLICATION In compliance with Chapter 30, Article 4, Section 8a, Code of W est Virginia

More information

New Perspective Counseling Services Child/Teen Intake Form

New Perspective Counseling Services Child/Teen Intake Form Child/Teen Intake Form Welcome to New Perspective Counseling Services. We look forward to providing you with excellent and efficient counseling services. Please take a few minutes to fill out this form.

More information

Application for Professional Employment Teacher/Principal Catholic Diocese of Springfield in Illinois

Application for Professional Employment Teacher/Principal Catholic Diocese of Springfield in Illinois Application for Professional Employment Teacher/Principal Catholic Diocese of Springfield in Illinois The Catholic Pastoral Center, parish, school or agency to which you are applying appreciates your willingness

More information

BlackRoc Property Management

BlackRoc Property Management BlackRoc Property Management 15825 S. 46 th Street, Suite 128 Phoenix, AZ 85048 Phone: (480) 940-1366 Fax: (480) 422-8752 Email: Residents@BlackRocpm.com Rental Application for Occupancy $40 per applicant

More information

Youth and Family Ministries Policy for the Protection of Children

Youth and Family Ministries Policy for the Protection of Children Youth and Family Ministries Policy for the Protection of Children Statement of Purpose The church is called to be a life-giving communion of worship, renewal, and discipleship. This is equally true for

More information

Grace Christian School Instructional Staff Application Faith. Preparation. Community. Service. Spirit. Leadership

Grace Christian School Instructional Staff Application Faith. Preparation. Community. Service. Spirit. Leadership Grace Christian School Instructional Staff Application Faith. Preparation. Community. Service. Spirit. Leadership Our school exists to provide a distinctive, biblically based education in a nurturing environment

More information

APPLICATION FOR EMPLOYMENT Cooperstown Medical Transport

APPLICATION FOR EMPLOYMENT Cooperstown Medical Transport APPLICATION FOR EMPLOYMENT Cooperstown Medical Transport PERSONAL INFORMATION (PLEASE PRINT) (FIRST, MIDDLE, LAST) SSN PHONE CELL PHONE Best Time To Be Reached: REFERRAL SOURCE WALK IN ADVERTISEMENT RELATIVE

More information

MINISTRY INTERNATIONAL INSTITUTE P. O. Box 1322, Powell, TN 37849-1322, 865-938-5544 Website: www.ministryinternational.tv

MINISTRY INTERNATIONAL INSTITUTE P. O. Box 1322, Powell, TN 37849-1322, 865-938-5544 Website: www.ministryinternational.tv Dear Student, MINISTRY INTERNATIONAL INSTITUTE P. O. Box 1322, Powell, TN 37849-1322, 865-938-5544 Website: www.ministryinternational.tv IN-CLASS BACHELOR PROGRAM STUDENT AGREEMENT Due to the fact that

More information

MAIL: Recovery Center Missoula FAX: 406 532 9901 1201 Wyoming St. OR ATTN: Admissions Missoula, MT 59801 ATTN: Admissions

MAIL: Recovery Center Missoula FAX: 406 532 9901 1201 Wyoming St. OR ATTN: Admissions Missoula, MT 59801 ATTN: Admissions Hello and thank you for your interest in Recovery Center Missoula. This letter serves to introduce our program to you, outline eligibility requirements, and describe the application/admission process.

More information

Grace Biblical Counseling 5595 Mason Road Mason, OH 45040 (513) 398-1989

Grace Biblical Counseling 5595 Mason Road Mason, OH 45040 (513) 398-1989 Grace Biblical Counseling 5595 Mason Road Mason, OH 45040 (513) 398-1989 Welcome to Grace Biblical Counseling! We look forward to helping with your problems using the Bible. In order to be as clear as

More information

TEEN CHALLENGE CENTER--PENSACOLA, FLORIDA STUDENT APPLICATION FOR PROGRAM ENTRY. Personal Data and Information. In Case of Emergency Please Contact

TEEN CHALLENGE CENTER--PENSACOLA, FLORIDA STUDENT APPLICATION FOR PROGRAM ENTRY. Personal Data and Information. In Case of Emergency Please Contact TEEN CHALLENGE CENTER--PENSACOLA, FLORIDA STUDENT APPLICATION FOR PROGRAM ENTRY Personal Data and Information TODAY'S DATE BIRTH DATE SOCIAL SECURITY NUMBER LAST NAME FIRST NAME MIDDLE NAME STREET ADDRESS

More information

Employment Application

Employment Application Employment Application Crossroads Academy of Kansas City is an equal opportunity employer. Applicants are considered for all positions without regard to sex, race, religion, color, national origin, ancestry,

More information

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT APPLICATION FOR EMPLOYMENT Your interest in Chapel Hill Christian School is appreciated. We invite you to fill out this application and return it to our office. We will contact you for an initial interview

More information

Scholarship Application Form

Scholarship Application Form Scholarship Application Form Project HOPE is part of the Health Profession Opportunity Grant (HPOG) program, a demonstration project funded by the Administration for Children and Families (ACF) in the

More information

Scholarship application deadline: April 15, 2014

Scholarship application deadline: April 15, 2014 THE KIWANIS CLUB OF ABILENE FOUNDATION, INC. 473 CYPRESS ST., SUITE 107, ABILENE, TX 79601 (325) 673-1341 Building One Child and One Community at a Time Scholarship application deadline: April 15, 2014

More information

NETwork Ministries Mail: PO Box 442; Chambersburg, PA 17201

NETwork Ministries Mail: PO Box 442; Chambersburg, PA 17201 NETwork Ministries Mail: PO Box 442; Chambersburg, PA 17201 Office: 10 Redwood Street; Chambersburg, PA 17201 Phone: 717-264-4640 Email: networkchambersburg@gmail.com Website: network-ministries.org To

More information

SafeMinistryTraining.com.au Course Notes

SafeMinistryTraining.com.au Course Notes SafeMinistryTraining.com.au Course Notes 1. Introduction Welcome to the Safe Ministry Training course. We all want our churches to be safe places for everyone kids as well as adults. The purpose of this

More information

Basic Law Enforcement Training Application. Asheville-Buncombe Technical Community College 340 Victoria Rd. Asheville, North Carolina 28801

Basic Law Enforcement Training Application. Asheville-Buncombe Technical Community College 340 Victoria Rd. Asheville, North Carolina 28801 Basic Law Enforcement Training Application Asheville-Buncombe Technical Community College 340 Victoria Rd. Asheville, North Carolina 28801 INSTRUCTIONS: Using a typewriter or legibly printing in ink, fill

More information

THE SHEPHERD S INN Attention Intake Coordinator 156 Mills St, Atlanta, Georgia 30313 Phone: (404) 588-4015 Fax: (404) 215-9470 www.atlantamission.

THE SHEPHERD S INN Attention Intake Coordinator 156 Mills St, Atlanta, Georgia 30313 Phone: (404) 588-4015 Fax: (404) 215-9470 www.atlantamission. THE SHEPHERD S INN Attention Intake Coordinator 156 Mills St, Atlanta, Georgia 30313 Phone: (404) 588-4015 Fax: (404) 215-9470 www.atlantamission.org PDP INTAKE APPLICATION Thank you for taking this important

More information

Calvary Chapel Bible College Nepal G.P.O. Box: 8975 E.P.C: 1563 Kathmandu, Nepal ccbcnepal@gmail.com www.ccbcnepal.com

Calvary Chapel Bible College Nepal G.P.O. Box: 8975 E.P.C: 1563 Kathmandu, Nepal ccbcnepal@gmail.com www.ccbcnepal.com Calvary Chapel Bible College Nepal G.P.O. Box: 8975 E.P.C: 1563 Kathmandu, Nepal ccbcnepal@gmail.com www.ccbcnepal.com New Student Application For students that have never enrolled in CCBC classes. Basic

More information

EMPLOYMENT APPLICATION. Position(s) for which you are applying: Date: Personal Information. Legal Name: Last First Middle Maiden.

EMPLOYMENT APPLICATION. Position(s) for which you are applying: Date: Personal Information. Legal Name: Last First Middle Maiden. Effort Christian School and Preschool A ministry of Effort Baptist Church 7829 Thomas Jefferson Parkway Palmyra, Virginia 22963 434-589-8962 www.effortchristianschoolandpreschool.com Your interest in Effort

More information

University of Massachusetts Worcester Graduate School of Nursing. Nurse Educator Post-Master s Certificate Program Application for Admission

University of Massachusetts Worcester Graduate School of Nursing. Nurse Educator Post-Master s Certificate Program Application for Admission Nurse Educator Post-Master s Certificate Program Application for Admission Application Instructions Thank you for your interest in the (GSN) at University of Massachusetts Worcester. We welcome your application.

More information

Communion of Evangelical Episcopal Churches Diocese of Endorsed Chaplains

Communion of Evangelical Episcopal Churches Diocese of Endorsed Chaplains Communion of Evangelical Episcopal Churches Diocese of Endorsed Chaplains 902 Spring Valley Road, Altamonte Springs, Florida 32714 (407) 389-0314 Dear Friend Thank you for contacting us about your intrust

More information

APPLICATION FOR ADMISSION AND SCHOLARSHIPS

APPLICATION FOR ADMISSION AND SCHOLARSHIPS APPLICATION FOR ADMISSION AND SCHOLARSHIPS (For the online application, go to www.grace.edu. No application fee if you apply online) Grace College Admissions Office 200 Seminary Drive Winona Lake, IN 46590

More information

YMCA OF CENTRAL OHIO APPLICATION FOR EMPLOYMENT EVENING PHONE. OTHER NAMES USED DURING PRIOR EMPLOYMENT Maiden name, other surname, etc.

YMCA OF CENTRAL OHIO APPLICATION FOR EMPLOYMENT EVENING PHONE. OTHER NAMES USED DURING PRIOR EMPLOYMENT Maiden name, other surname, etc. YMCA OF CENTRAL OHIO APPLICATION FOR EMPLOYMENT The YMCA is an equal opportunity employer and does not discriminate or give preferential consideration because of sex, sexual orientation, gender identity,

More information

Discipleship Counseling

Discipleship Counseling Discipleship Counseling www.gbcn.org 239.513.0044 1610 Trade Center Way Suite 3, Naples, FL 34109 info@gbcn.org Personal Identification Mr. Mrs. Miss Name Address City Zip Home Phone ( ) Other Phone (

More information

MCM Korean track program Application for Admission Graduate

MCM Korean track program Application for Admission Graduate MCM Korean track program Application for Admission Graduate Admission Process Checklist Send these five items to the : 1. A completed graduate application for admission. 2. An application fee in the form

More information

Application Procedure FIRE School of Ministry

Application Procedure FIRE School of Ministry Application Procedure PLEASE READ THIS DOCUMENT IN ITS ENTIRETY BEFORE APPLYING WHEN TO APPLY: accepts students twice per year, at the start of the Fall and Spring semesters. Prospective students should

More information

Premarital Counseling Survey. Address: Phone: Email: Cell Phone: High school graduate? Yes No College degree? Yes No Major

Premarital Counseling Survey. Address: Phone: Email: Cell Phone: High school graduate? Yes No College degree? Yes No Major Premarital Counseling Survey This survey is designed to help the counselor understand who you are, where you re at in your current relationship, and how you view love and marriage. You may find some of

More information

Sacred Heart Catholic Church Faith Formation Registration Form 2015-2016 Catechetical Year

Sacred Heart Catholic Church Faith Formation Registration Form 2015-2016 Catechetical Year Sacred Heart Catholic Church Faith Formation Registration Form 2015-2016 Catechetical Year DATE RECEIVED: BAPTISMAL RECORD RECEIVED MEDICAL/PHOTO RELEASE COMMITMENT FORM REGISTRATION PAID $ Cash Check

More information

Habitat Nassau Application for Super-storm Sandy Home Repairs

Habitat Nassau Application for Super-storm Sandy Home Repairs Habitat Nassau Application for Super-storm Sandy Home Repairs PLEASE READ CAREFULLY BEFORE COMPLETING THE APPLICATION Habitat for Humanity of Nassau County, NY Inc will help low to moderate income homeowners

More information

On the last page of the application, please remember to circle which session you are applying for.

On the last page of the application, please remember to circle which session you are applying for. ATLANTA SCHOOL OF MINISTRY ATLANTA SCHOOL OF MINISTRY Letting Heaven Invade Earth Letting Heaven Invade Earth Dear Atlanta SOM Applicant, We are excited that you have taken the time to apply to the Atlanta

More information

CATHOLIC CHARITIES OF BALTIMORE 2601 N. Howard Street Suite 200 Baltimore, Maryland 21218 (410) 659-4050

CATHOLIC CHARITIES OF BALTIMORE 2601 N. Howard Street Suite 200 Baltimore, Maryland 21218 (410) 659-4050 CATHOLIC CHARITIES OF BALTIMORE 2601 N. Howard Street Suite 200 Baltimore, Maryland 21218 (410) 659-4050 INTERNATIONAL CHILDREN'S SERVICES RELATIVE ADOPTION--PRELIMINARY APPLICATION FORM Please enclose

More information

Mosaic Arlington Counseling Center 817 W. Park Row Arlington, Texas 76013 Phone: (817) 929-3408 NEW CLIENT INFORMATION

Mosaic Arlington Counseling Center 817 W. Park Row Arlington, Texas 76013 Phone: (817) 929-3408 NEW CLIENT INFORMATION NEW CLIENT INFORMATION (Please Print) / / Client Name M/ F of Birth Address City/State Zip Home ( ) Work ( ) Cell ( ) Email Address: (Circle One) Minor Single Married Divorced Separated Widow Living Together

More information

ACCELERATED REHABILITATIVE DISPOSITION APPLICATION

ACCELERATED REHABILITATIVE DISPOSITION APPLICATION OFFICE OF THE WARREN COUNTY DISTRICT ATTORNEY WARREN COUNTY COURT HOUSE 204 Fourth Avenue WARREN, PENNSYLVANIA 16365 Phone 814-728-3460 FAX 814-728-3483 ACCELERATED REHABILITATIVE DISPOSITION APPLICATION

More information

THE CROSSNORE SCHOOL ADOPTION PLACEMENT PROGRAM. Every child deserves a Forever Family ADOPTIVE HOME APPLICATION

THE CROSSNORE SCHOOL ADOPTION PLACEMENT PROGRAM. Every child deserves a Forever Family ADOPTIVE HOME APPLICATION THE CROSSNORE SCHOOL ADOPTION PLACEMENT PROGRAM Every child deserves a Forever Family ADOPTIVE HOME APPLICATION The Crossnore School PO Box 249 Crossnore, NC 28616 Phone: (828)733-4305 Fax: 733-1704 Website:

More information

Civil Service Employees Benefit Association 67182-7. Address City State Zip. Place of Birth Home/Cell Phone # Work Phone # E-mail Address

Civil Service Employees Benefit Association 67182-7. Address City State Zip. Place of Birth Home/Cell Phone # Work Phone # E-mail Address Group Term Life Application for 10-Year or 20-Year Level Term Rate Please complete the entire application. If completing this application in paper format, please print clearly in dark ink and mail to WrightUSA

More information

APPLICATION FOR GRADUATE ADMISSION

APPLICATION FOR GRADUATE ADMISSION APPLICATION FOR GRADUATE ADMISSION International students (except for Permanent Resident Aliens) should not complete this application. Contact the International Office at 214-333-5427 for an International

More information

Application for Membership Fishers of Men Ministries

Application for Membership Fishers of Men Ministries Application for Membership Fishers of Men Ministries Date Interviewer 1. Print Name (Last, First, Middle) 2. Date of Birth,, Month Day Year 3. What is your social security number? 4. What is your driver

More information

MT. JULIET CHRISTIAN ACADEMY

MT. JULIET CHRISTIAN ACADEMY MT. JULIET CHRISTIAN ACADEMY 735 N. Mt. Juliet Road Mt. Juliet, Tennessee 37122 615-758-2427 615-758-3662 (fax) AN ACCREDITED CHRISTIAN SCHOOL PK 12 th TEACHER APPLICATION CONTACT INFORMATION Date of Application

More information