MT – MR (formerly SOM) AND REENTRY APPLICATION
 

 

PERSONAL INFORMATION

ATTENTION: ALL FIELDS ARE REQUIRED.
Put N/A if the question does not apply to you.

Name:
Present Address:
City State Zip:
Alternate Address:
City State Zip:
E-mail Address:
Birth date:
Social Security Number:
Home Phone:
Alternate Phone:
Age
Are you prevented from being lawfully employed in this country because of visa or immigration status?
 yes  no 
(Proof of citizenship or immigration status may be required upon employment.)
Marital Status:
If divorced and remarried, is your former spouse living?
 yes  no 
If married, has your spouse ever been divorced?
 yes  no 
Are you a Christian?
 yes  no 
When were you saved?
Do you use tobacco?
 yes  no 
Do you drink alcoholic beverages?
 yes  no 
Do you use illegal drugs? yes  no 
Do you espouse a homosexual lifestyle?
 yes  no 
Do you support abortion on demand?
 yes  no 
Have you ever been convicted of a criminal offence (excluding minor traffic violations)?
yes  no 
If so, please explain:
Are you baptized in the Holy Spirit according to Acts 2:4?
 yes  no 
Name of the church you attend:
Location (city and state or country):

 
EDUCATION

Are you a student? yes  no 
High School Name:
Location (city and state or country):
Last Year Completed:
College:  
Name:
Location (city and state or country):
Major:
Minor:
Last Year Completed:
Year: 
Degree:
Other (specify):  
Name:
Location (city and state or country):
Major:
Minor:
Last Year Completed:

VOLUNTEER EXPERIENCE

List any gifts, callings, training, education, or other factors that have prepared you for children/youth work:
List all previous volunteer church, school, or community work involving children and/or youth (identify organization: name, address, and phone) and type of work:
List any musical instruments you play:
Can you play choruses? yes  no 
Lead songs and worship? yes  no 
Do you have a Commercial Drivers License (CDL)? yes  no 

EMPLOYMENT EXPERIENCE

(List three most recent jobs. Begin with present, or most recent job.)
Employer:
Address:
Phone: 
Type of Work:
Employment Dates From - To:
Salary Upon Leaving:
Reason for Leaving: 
Employer:
Address:
Phone: 
Type of Work:
Employment Dates From - To:
Salary Upon Leaving:
Reason for Leaving: 

Employer:
Address:
Phone: 
Type of Work:
Employment Dates From - To:
Salary Upon Leaving:
Reason for Leaving: 

POSITIONS FOR WHICH YOU WILL BE CONSIDERED

ATTENTION: Please select ONE of the options below for the dates you wish to apply.





* These dates include staff arrival, orientation and debriefing. You may depart on the final day between 8am and 12 noon. Please note you may be required to work on the 4th of July due to schedule changes.

** Coordinator dates are June 14, 2008 to July 13, 2008 for MT and MR (formerly SOM).

SELECT THE AGE LEVELS YOU WORK BEST WITH:
(Please indicate choice preferences. *Your selections are subject to change even after being hired at the discretion of the MK Ministry Office.)

First Choice:
Second Choice:
Third Choice:
Please list any previous work experience with CS-PFO/SOM and Re-entry (include year and program--this will determine your pay rate).

T-shirt size:
(Note:. The size you order is the size you receive so order accordingly. NO EXCEPTIONS)

Adult: small medium large
  XL XXL

*INTERNSHIP NOTE: If you would like to do an internship please check here and we will contact you concerning the details of your internship. Please take note that NO internship papers will be signed if we are NOT aware of the intership prior to MT - MR and Re-entry.

PERSONAL REFERENCES--List TWO below the NAME, ADDRESS, AND PHONE NUMBER for the two reference people you are sending the reference forms to.

Please review the reference sheet since references MUST BE a senior, associate pastor, other pastoral staff, area director or missionary.

Reference #1  
Name:
Address:
City State Zip:
Phone Number:
   
Reference #2  
Name:
Address:
City State Zip:
Phone Number:

Be sure to send the two reference forms you already printed out to the references listed above. The Mail-In Reference Form must be mailed or faxed by your references to the MK Office. An e-mail version will not suffice. Give them plenty of time, so everything will be turned in by the April 1st deadline.

APPLICANT'S STATEMENT

I certify that the information contained in this application is correct to the best of my knowledge and I understand that falsification or misrepresentation is grounds for dismissal in accordance with The General Council of the Assemblies of God policy. I authorize the references listed in this application to give you any and all information they may have, and release all parties from all liability for any damage that may result from furnishing same to you. In consideration of my employment, I agree to conform to the rules and regulations of the General Council of the Assemblies of God. My employment and compensation can be terminated, with or without cause, at the option either of the company or myself.

You will be required to sign and date the application on site during orientation.

 
  
   

 

 

International Society of Missionary Kids - A ministry of Assemblies of God World Missions