CONFIDENTIAL
This application is to be completed by all applicants who desire to be
involved in the supervision and spiritual growth of minors at Cape
Charles Baptist Church. The application will be reviewed by a
team designated by the church body of Cape Charles Baptist
Church.
PLEASE ATTACH A CURRENT RESUME WITH THIS APPLICATION.
GENERAL INFORMATION
Date: ___________________________
First and Last Name: ______________________________________________
Address: __________________________
City: ___________________
State: ________
Zip: ________________________
Home Phone: _________________________________________
Work Phone or Cell Phone: ______________________________
Email address: ________________________________________
MINISTRY INFORMATION
1. Are you a member of a church? _____yes _____no
If yes, since when: Month _______________ Year ________________
2. Do you regularly attend church services? _____yes _____no
3. In what area(s) of ministry are you currently involved? ___________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
4. Have you personally accepted Jesus Christ as your Lord
and Savior and are you committed to having the character of Jesus live
through you?
_____yes _____no
5. Tell us how you came to know Jesus Christ and your spiritual journey to date.
(If more space is needed, you may
attach your answer to this document.)
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
6. Please tell us what reason(s) you have chosen to work with youth?
(If more space is needed, you may attach your answer to this document.)
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
EDUCATION
Please list all schools attended after grammar school, such as high school, technical, college, Bible institute or seminary.
School
State Dates
Attended
Graduation
Date Major
1. _______________________________________________________________
2. _______________________________________________________________
3. _______________________________________________________________
4. _______________________________________________________________
EMPLOYMENT HISTORY
(If not currently employed, please share your most recent employment)
Current or Most Recent Employer: _____________________________________
Address: __________________ City: _____________ State: ____ Zip: ________
Supervisor: _________________________ Phone Number: _________________
Current/ Recent Position: ____________________________________________
MILITARY SERVICE
Branch __________________ Rank _______________ Discharge ____________
PERSONAL SITUATIONS
1. Have you ever been arrested, convicted or pleaded guilty to a crime?
_____yes _____no
If yes, please explain:
_______________________________________________________________
_______________________________________________________________
2. Have you ever been suspected, accused, charged
or alleged to have, or have you ever committed an act of neglecting,
abusing, or molesting a child?
_____yes _____no
If yes, please explain:
_______________________________________________________________
_______________________________________________________________
3. Is there any circumstances or patterns in your
life that may make it inappropriate for you to work with
youth? _____yes _____no
If yes, please explain:
_______________________________________________________________
_______________________________________________________________
REFERENCES
Please list three character references below.
Name
Phone
Relationship
Years Known
1. ______________________________________________________________
2. ______________________________________________________________
3. ______________________________________________________________
