Church Planter Application
SBC of Virginia
Date submitted:Click here to enter text.
PERSONAL BACKGROUND
Full Name (as it appears on your Social Security card):Click here to enter text.
Name Most Often Used:Click here to enter text.
Home Address:Click here to enter text.
City: Click here to enter text. State:Click here to enter text. Zip:Click here to enter text.
Home Phone:Click here to enter text.Cell Phone:Click here to enter text.
Email Address:Click here to enter text.
Birthday:Click here to enter text.Birthplace: Click here to enter text.
Currently Employed by: Click here to enter text.
Job Title: Click here to enter text.
What languages do you use conversationally? Click here to enter text.
What are your hobbies? Click here to enter text.
Education:
Date Range (from – to) / Name and Location of School / Major/Minor / Date of Graduation / Degree or Credit Hours CompletedWork Experience:
Date Range (from – to) / Employer / Location / PositionProfessional or Community Group Affiliations or Volunteer Service Roles:
Date Range (from – to) / Organization Name / RoleAuthorship: Please list any material resources you have written and have had published.
Title and Description of Published Item / Publisher / Date PublishedFAMILY BACKGROUND
Marital Status: ☐Single ☐Married ☐Divorced ☐Widowed
If Married, Name of Spouse (First, Middle, Last): Click here to enter text.
Name She Goes by: Click here to enter text.
Email Address (separate from husband’s email): Click here to enter text.
Spouse’s Birthday:Click here to enter text.Birthplace: Click here to enter text.
Wedding Date: Click here to enter text.
Spouse’s Employment: ☐Employed ☐Not Employed
If Employed, Spouse’s Occupation:Click here to enter text.
Children:
Name / Gender / BirthdateSPIRITUAL BACKGROUND
To avoid retyping the same information, feel free to copy and paste this section from the same section on your interest form.
Age and place of your conversion:Click here to enter text.
Have you experienced believer’s baptism since the time of your conversion?
☐Yes ☐No
Age at which you were baptized:Click here to enter text.
Name, location, and affiliation of the church in which you were baptized: Click here to enter text.
Month and year in which you first affiliated with a Southern Baptist church: Click here to enter text.
Name, location, and affiliation of the church of which you are now a member: Click here to enter text.
Length of time you have been a member of your current church: Click here to enter text.
Have you been ordained by a local church to the Gospel ministry?
☐Yes ☐No
If yes, please provide the name, location, and affiliation of the church in which you were ordained: Click here to enter text.
SPOUSE’S SPIRITUAL BACKGROUND (if married)
Age and place of your conversion: Click here to enter text.
Have you experienced believer’s baptism since the time of your conversion?
☐Yes ☐No
Age at which you were baptized: Click here to enter text.
Name, location, and affiliation of the church in which you were baptized: Click here to enter text.
REFERENCES
Please provide 10 references. These should be people who are well acquainted with your work and your character and represent some of the diversity of your background—personally, professionally, and spiritually.
Name / Email / Mailing Address / PhoneReference Release Form
I hereby authorize the SBC of Virginia to verify all information contained in my application or in any other written communication I have provided.
I recognize that such verification will include confidential communication with the references I have provided and any secondary references they may suggest.
I furthermore waive the right to take legal action against the SBC of Virginia or the persons providing references for providing the information requested of them.
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Print NameSignature
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Date
Doctrine and Polity Affirmation
I have read the Baptist Faith and Message 2000 in its entirety and endorse it without reservation.
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Print NameSignature
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Date
[Please print and sign this page where indicated and return it to the SBC of Virginia by 1) scanning the signed document and emailing it to ; or 2) faxing a signed copy to 804-270-1834.]
SPIRITUAL ESSAYS
Applicant’s Salvation Testimony:
In about a page to a page and a half, write out your salvation testimony, giving attention to descriptions of your life before knowing Christ; how you came to understand your need for Christ; when and where you trusted Christ for salvation; and your life since knowing Christ.
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Spouse’s Salvation Testimony:
In about a page to a page and a half, write out your salvation testimony, giving attention to descriptions of your life before knowing Christ; how you came to understand your need for Christ; when and where you trusted Christ for salvation; and your life since knowing Christ.
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Applicant:
Please provide a brief description (1–2 paragraphs) of your prayer and devotional life.
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Applicant:
Please share your call to church planting and any church planting experience you have had (you may copy/paste from the same question on your SBCV Church Planter Interest Form).
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Applicant:
Please provide a description of your activities and involvement in personal evangelism. Include recent stories of individuals with whom you have been able to share the hope that is in Christ.
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SITUATIONAL ESSAYS
Please provide brief descriptions (1–2 paragraphs) for the following questions.
Describe your philosophy of ministry teams.
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Give examples of one or more teams that you have enlisted, equipped, and led.
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Do you currently have a team that has committed to plant the new church with you?
☐Yes ☐No
If you answered, “yes,” please describe the makeup and dynamics of your team.
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Describe your philosophy of leadership.
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Give examples of the following:
Peer-to-peer accountability relationships of which you are/were a part:
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Mentoring/coaching relationships in which you invested in others toward the goal of their improved leadership and/or increased (qualitative or quantitative) results.
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What books, persons, and experiences have shaped your church planting knowledge, skills, and preferences?
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For what reason(s) are you pursuing affiliation with the SBC of Virginia for your new church plant?
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In what ways will you assist your church to enthusiastically embrace its affiliation with the SBC of Virginia and to participate in our cooperative missions endeavors?
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Please send completed forms to .
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