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Personal information
.
Full Name
*
First Name
Middle
Last Name
Address
*
Address Line 1
Address Line 2
City
State
Postal Code
Country
Phone
Email
Marital Status
Married
Single
Widowed
Divorced
Sex
Female
Male
Race - Ethnicity (voluntary disclosure)
Asian or Pacific Islander
Black
Hispanic
White
Other
Other:
Were you ever employed by Faith Miracle Temple or any church affiliated with the Pentecostal Assemblies of the world (PAW)?
Yes
No
If yes, when and what organization?
Have you ever been subject to involuntary removal from a ministry in which you served?
*
Yes
No
If yes, when and what organization?
Are you involved in any extraordinary circumstances that could hinder your performance in this position?
*
Yes
No
If yes, when and what organization?
For what position are you applying?
Date Available
Education
.
What is the highest level of Education attained?
High School Diploma / GED
Bachelor
Graduate
Ph. D.
Other
Other
Please indicate the following information if applicable:
High School & Location
Dates Attended
Date Diploma Received
College or Technical School & Location
List any special skills, certifications, or qualifications you possess (such as bilingualism, CPA, computer knowledge, etc.
Do you hold any ministerial license(s)?
Yes
No
If yes, when and what organization?
Have you ever held a ministerial license that has been revoked?
Yes
No
If yes, when and what organization?
Why was your ministerial license(s) revoked?
General & Ministerial Experience
.
Were you previously a member of a church affiliated with the Pentecostal Assemblies of the World?
Yes
No
Have you ever been baptized in the name of the Lord Jesus Christ?
Yes
No
Have you received the gift of the Holy Ghost with the evidence of speaking in tongues (Acts 2:4)?
Yes
No
Have you completed six months of New Membership Classes?
Yes
No
If no, have you faithfully attended New Membership classes since your membership?
What is your current occupation?
Place of Employment
Work Phone
Are you currently employed by Faith Miracle Temple or any other church affiliated with the Pentecostal Assemblies of the World?
Yes
No
If yes, position and organization other than FMT.
Please list all general or ministerial positions you have held that may be pertinent to the position for which you are applying.
Employer Name
Work Address
Address Line 1
Address Line 2
City
State
Postal Code
Work Phone
Position Title
Start Date
End Date
Describe your duties and responsibilities.
Employer Name
Work Address
Address Line 1
Address Line 2
City
State
Postal Code
Work Phone
Position Title
Start Date
End Date
Describe your duties and responsibilities.
Available Days
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Are there any specific times you are unavailable?
please read the following very carefully before signing
.
I acknowledge that the information that I supplied is correct to the best of my knowledge and belief without any omissions of any kind whatsoever. I understand that any falsifications or omissions of fact may be grounds for rejection of my application. I authorize Faith Miracle Temple or any representative to contact my former church and any listed references or persons who can verify this information, and I give my consent for representatives of my former church to respond to questions pertaining to information on this application. Furthermore, I authorize the release of information as part of a background check and release from such liability Faith Miracle Temple, current/former church representatives and other persons contacted to provide this information.
*
Applicant Signature
Date