Today's Date:
Your Name:
Church Affiliation:
Mailing Address
Street 1:
Street 2:
City:
State/Province:
Zip or Postal Code:
Country:
Phone:
Email:
College Education
School:
No. Years Completed:
Degree/Diploma:
Major:
Experience & Certification:
Youth Ministry Experience:
Missions Experience:
Camping Experience:
Experience with Teens:
Please list any certifications you have:
Do you speak any additional languages?
Legal Violations
Have you ever been convicted of any offense other than minor traffic violations? If Yes, explain:
Citizenship
Are you a U.S. Citizen?
Yes: No:
If no, do you have a working visa?
Yes: No:
References Give the following information on your referents for the identified areas. Do not include relatives.
Referent 1 (Work Performance):
Referent 2 (Academic Performance):
Referent 3 (Pastor or Spiritual Leader):
Referent 4 (Christian Character):
We cannot begin processing your application until all reference forms are received. You can download the reference forms above .
Maturity
How did you hear about LeaderTreks?
What is the difference between a Christian and a non-Christian?
When and how did you become a Christian? Please write out your testimony. Please also describe your walk with Christ now:
Explain any incidence of child abuse or any moral impropriety that has not been fully resolved in your life and may affect your job performance:
Describe your relationship with your immediate family:
Profile your character using 3 positive adjectives and 3 negative adjectives. Elaborate on each word:
List your ministry and leadership experience (Church, Camp, Trips, School, etc.) using the following outline (you may list more than one per box):
Age Group:
Role & Responsibilities:
Church/Org.:
In what capacity are you now serving?
Why are you interested in serving at LeaderTreks?
What would LeaderTreks gain from having you on staff?
What does it mean to be a leader? A team player?
Are you prepared to raise the necessary funds in order to be on staff?
Yes No
Do you fully agree with the Shared Values , and Statement of Faith and are you willing to support these through example and teaching?
Yes No
I certify that everything in this application is correct and truthful. I understand that past employers (unless I ask LeaderTreks not to contact them) and referents will be contacted by LeaderTreks. I also understand that LeaderTreks may do a criminal record check for the purpose of ensuring all applicants will have no history of abusing or neglecting children.
Signature:
Date: