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Personal Information
Full Name
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Address:
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Home Phone
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Date of Birth
Email
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Present Church Membership
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Marrital Status
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Married
Single
Wife's Name
Date of Marriage
Wife's Date of Birth
Have you or your wife ever been divorced?
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Yes
No
Please list name and birthdates of children:
Please rate your health
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Great
Good
Fair
Poor
Please rate your wife's health
Great
Good
Fair
Poor
Date of Last Physical Exam
Post Highschool Educational Experience/Degrees
Have you ever been arrested?
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Yes
No
If you've been arrested, please explain:
Would you give your permission for a background check?
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Yes
No
Please attach a picture of you and your family (2mb or smaller)
Are you or your wife bilingual
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Yes
No
If yes, which languages?
Spiritual Journey
Tell us about your conversion experience:
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Tell about your journey with God from conversion until now. Any seasons fo growth, stagnation or decline? What lessons did you learn during these seasons?
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Calling to Church Planting
Describe what you've already done to get a good understanding of church planting. (To know what you're getting into)
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What church planters have you talked to?
What are some of the challenges and difficulties you have learned from these other planters?
What books have you read about church planting?
Have your family and friends affirmed your desire to be a church planter? Is your wife excited about the prospect?
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Has anyone you know expressed concern or hesitation about you planting a church? If so, why?
Tell your story of your calling to church planting.
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Ministry Experience
Are you an ordained Free Will Baptist minister?
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Yes
No
When and where were you ordained?
What conference are you presently a member of?
Volunteer Positions (Minimum 1 response required - i.e. youth leader, teacher, etc.))
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Approximate dates or duration
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Paid Vocational Ministry (Enter all paid positions - i.e. pastor, associate pastor, etc.)
Approximate dates or duration
Church where you served
Reason for leaving the position and moving on
Finances and Money Management Information
Debt
Our total mortgage debt is
Our total automobile debt is
Our total credit card debt is
Our total student loan debt is
Tithing
Do you and your wife give at least 10% of your income to the church?
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Yes
No
Income
What is the total annual income for you and your wife?
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Insurance
Do you have health insurance?
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Yes
No
Do you have life insurance on yourself?
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Yes
No
Budgeting
Describe your philosophy on budgeting, spending, and saving money.
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Are you willing to have a credit check?
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Yes
No
References
Give at least 5 references: (at least one from someone in leadership at your present position, at least one from a pastor in your present conference, at least one from a member of a church where you ministered)
Name of Reference 1
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Number of years you've known Reference 1
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Nature of your relationship (Board member, church member, friend, etc.)
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Phone number of Reference 1
Email of Reference 1
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Name of Reference 2
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Number of years you've known Reference 2
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Nature of your relationship (Board member, church member, friend, etc.)
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Phone number of Reference 2
Email of Reference 2
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Name of Reference 3
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Number of years you've known Reference 3
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Nature of your relationship (Board member, church member, friend, etc.)
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Phone number of Reference 3
Email of Reference 3
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Name of Reference 4
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Number of years you've known Reference 4
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Nature of your relationship (Board member, church member, friend, etc.)
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Phone Number of Reference 4
Email of Reference 4
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Name of Reference 5
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Number of years you've known Reference 5
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Nature of your relationship (Board member, church member, friend, etc.)
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Phone number of Reference 5
Email of Reference 5
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