| Personal Information |
| Last Name: |
|
| First Name: |
|
| Middle Initial: |
|
| Preferred Name: |
|
| Social Security Number: |
|
| Current Mailing Address: |
|
| City: |
|
| State: |
|
| Zip: |
|
| Phone: |
|
| Other/Work Phone: |
|
| Email Address: |
|
| I will be at this address through (date): |
|
| Permanent Address: |
|
| City: |
|
| State: |
|
| Zip: |
|
| Permanent Phone: |
|
| College Attending/Attended: |
|
| College Major: |
|
| Graduation Date: |
|
| Seminary Attending/Attended: |
|
| Seminary Major: |
|
| Graduation Date: |
|
| Other position if not in College/Seminary: |
|
| If you have served with any of the Imagine Ministries programs, please provide us with the following information: |
|
| Skill Areas |
| Do you have experience in any of the following: |
| Powerpoint |
|
| MediaShout |
|
| Sound Board* |
|
| Light Board* |
|
| * If you have indicated experience with a sound or light board, please indicate the type of equipment you have used and your level of expertise: |
|
| Experience |
| Describe any counseling, training, and/or experiences that you have had: |
|
| Have you served with any other camp/conference programs before? |
|
| If "Yes", please describe the type of camp/conference, your responsibilities, location, and dates. |
|
Where do you presently hold church membership and do you hold any leadership responsibilities (describe)? |
|
Below, please list any church staff experience, beginning with current or most recent: |
|
| |
| What do you see as your strengths? |
|
| What do you see as areas where you could improve? |
|
| Share a brief testimony. |
|
| Personal Conduct and Health |
| Have you ever been convicted of a felony? |
|
| If Yes, Please explain. |
|
Have you ever been arrested or convicted of child abuse of a crime involving actual or attempted sexual molestation of a minor? |
|
| If Yes, Please explain. |
|
Our camps and conferences are committed to nurturing and ministering to young people and the adults who attend camp with them. Churches and individuals allow our programs to carry out that commitment through a relationship based upon trust and respect. Therefore, it is imperative that all staff members maintain conduct consistent with the expressed purpose and mission of the program(s). Do you have, or have you had, any lifestyle, conduct, or activity that would impede Imagine Ministries’ credibility with its constituents as referred to above? |
|
| If Yes, Please explain. |
|
| Bible Study Information |
Please check the event you are applying for: |
IMPACT Weekends – Disciple Now Weekend Conferences (grades 6-12) |
Applicants must be 18 years old and have completed one semester of college. |
| Do you meet this requirement? |
Yes
No |
Please select the age group where you feel you would be most effective in leading Bible studies. |
|
6-8 grade
9-10 grade
11-12 grade |
For the event you wish to apply for, describe any Bible study teaching experiences you have had.
Include: 1) length of teaching assignment, 2) description of the setting in which you taught (Sunday School, Vacation Bible School, Discipleship Training, Disciple Now, Mission Trips, etc.), and 3) age group you have taught.
|
|
Share any experiences you have in teaching college students in Bible study. |
|
| Questions |
|
Are you currently working with students in grades 7-12? If so, in what capacity? |
|
What qualities do you feel are necessary to work with the students of this age group? |
|
In your perception, what is the greatest need a student in grades 7-12 has? |
|
How have you ministered to students in this age group before? |
|
| Reference Information |
|
| Please select three individuals as references. List your references and other requested information below.
Reference #1 must be either a: pastor, youth minister, or campus minister.
Reference #2 must be either a: present or previous job supervisor, coach, teacher, or youth minister.
Reference #3 must be either a: present or previous job supervisor, former staffer with one of our programs, pastor, or campus minister.
Personal friends or relatives are allowed as a reference only if they fit into one of the previous categories. The title you list with your reference must be from the categories listed above. All references must mailed to the address at the bottom of each Reference Form.
|
| Reference #1 |
|
| Name: |
|
| Title: |
|
| Work Phone: |
|
| Home Phone: |
|
| Cell Phone: |
|
| Email Address: |
|
| Reference #2 |
|
| Name: |
|
| Title: |
|
| Work Phone: |
|
| Home Phone: |
|
| Cell Phone: |
|
| Email Address: |
|
| Reference #3 |
|
| Name: |
|
| Title: |
|
| Work Phone: |
|
| Home Phone: |
|
| Cell Phone: |
|
| Email Address: |
|
| |
|
Questions? Call 817.988.4837 or email matt@imagineministries.org |