Church Planter Application
Name:______
1. GENERAL INFORMATION
Name ______
Date ______
Address ______
Apt. #______
City ______
State ______Zip ______
Home Phone ( ) ______
Cell Phone ( ) ______
Work Phone ( ) ______Ext. # ______
E-mail address: ______
Birthday:______Ethnicity:______
Marital Status: Married ___ Single ___
Name of Spouse______
Names and ages of children ______
2. EDUCATION
College attended ______
Years completed ______Degree earned ______
Graduate school attended ______
Years completed ______Degree earned ______
Other school attended ______
Years completed ______Degree earned ______
3. CURRENT EMPLOYMENT AND PAST EMPLOYMENT
Part-time ( ) Full-time ( )
Employer ______
Phone ______
Address ______
Job Title and Description ______
Supervisor ______
4. PERSONAL HISTORY
Please attach to this application a one page summary of each of the following:
Your Testimony: Summarize how you came to faith in Jesus Christ and how you connect and grow in your relationship with Him now.
Your Ministry Story: Summarize your call to ministry and how you have been serving
Your Leadership Experience: Summarize your leadership experiences from childhood.
5. Please describe why you desire to plant a church.
6. If married, please attach comments from your spouse's thinking about planting a church.
7. LEADERSHIP QUALIFICATIONS
Talents and Skills: What skills, natural talents, or special abilities do you possess as a leader?
If you’ve completed your Myers-Briggs or DISC assessment, what is your profile?
8. CHURCH
Briefly describe your church and your personal involvement, ministry, leadership, etc.
9. LEGAL ISSUES and LIFESTYLE
Below are questions that relate to personal issues that are of a sensitive nature. Because we take seriously our responsibility to maintain a safe ministry environment believe honesty and integrity to be of the utmost importance, the personal questions below must be answered in a truthful and forthright manner. Please explain any “YES” answers in the space below this section.
A. Have you ever been arrested and/or convicted of a crime?
YES ( ) NO ( )
B. Do you have any history of, or have ever been accused of any form of child abuse or sexual assault?
YES ( ) NO ( )
C. Is there anything from your past that may come up in the future about you, that could hurt the testimony of the ONE8 Network?
YES ( ) NO ( )
D. Have you ever declared personal bankruptcy?
YES ( ) NO ( )
E. Are you carrying any consumer debt (i.e. credit cards, etc)? If so, how much? Are there any outstanding debts that would make it difficult for you to take a job in order to “tent make” while you give the majority of your efforts to church planting?
YES ( ) NO ( )
F. Is there any reason why a leader of another SBC church would question or oppose you in either planting an SBC church or becoming an SBC pastor?
YES ( ) NO ( )
Please explain any “YES” answers in the space below:
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