New Jerusalem Missionary Baptist UCC Church

5485 Alegre Drive Fountain, CO 80817

New Jerusalem Missionary Baptist UCC Church
5485 Alegre Drive, Fountain, CO 80817

Application for the Office of Pastor

Personal Information

Full Name:(Required)

First

Date(Required)

Address(Required)

Street Address City State ZIP Code

Phone(Required)

Email(Required)

Enter Email Confirm Email

Marital Status:(Required)

Ministerial Certifications

Location of License to Preach:(Required)

Date

Location of Baptist Ordination:(Required)

Date

Ordination Authority:(Required)

(i.e., Council)

Education

(Educational Credentials will be required for finalists)

You may upload your educational credentials or you may provide the informaiton in our form.

I would like to upload my educational credentials

I will fill out my information here online.

Upload your credentials here:(Required)

You may upload a Word document(.doc), PDF's, photos and/or graphics. If the information is part of your resume/CV that is fine.

Max. file size: 256 MB.

1. Degree / Certificate and Field of Study(Required)

Month / Year Conferred:(Required)

Name and Address of Institution:(Required)

You may add up to 6 Educational Credentials. Would you like add a second (#2)?(Required)

Yes

2. Degree / Certificate and Field of Study(Required)

Month / Year Conferred:(Required)

Name and Address of Institution:(Required)

Would you like add a third Educational Crendential (#3)?(Required)

Yes

3. Degree / Certificate and Field of Study(Required)

Month / Year Conferred:(Required)

Name and Address of Institution:(Required)

Would you like add a fourth Educational Crendential (#4)?(Required)

Yes

4. Degree / Certificate and Field of Study(Required)

Month / Year Conferred:(Required)

Name and Address of Institution:(Required)

Would you like add a fifth Educational Crendential (#5)?(Required)

Yes

5. Degree / Certificate and Field of Study(Required)

Month / Year Conferred:(Required)

Name and Address of Institution:(Required)

Would you like add a sixth Educational Crendential (#6)?(Required)

Yes

6. Degree / Certificate and Field of Study(Required)

Month / Year Conferred:(Required)

Name and Address of Institution:(Required)

Current Religious and Professional Associations

1.) Organization:(Required)

Leadership Position(s)(Required)

You may add up to 5 Religious and Professional Associations. Would you like to add a 2nd (#2)?

Yes

2) Organization:(Required)

Leadership Position(s)(Required)

Would you like to a third (#3) Religious and Professional Association?

Yes

3) Organization:(Required)

Leadership Position(s)(Required)

Would you like to a fouth (#4) Religious and Professional Association?

Yes

4) Organization:(Required)

Leadership Position(s)(Required)

Would you like to a fifth (#5) Religious and Professional Association?

Yes

5) Organization:(Required)

Leadership Position(s)(Required)

Ministerial Experience

1.) Church or Institution(Required)

Address(Required)

Street Address City State ZIP Code

Position:(Required)

Salary

Dates Employed(Required)

Example: 05-01-2007 thru 06-02-2012

Size of Church/ Institution(Required)

May we contact this church or institution for a reference?(Required)

Yes

You may add up to 5 Ministerial Experiences. Woud you like to add a 2nd (#2)?

Yes

2.) Church or Institution(Required)

Address(Required)

Street Address City State ZIP Code

Position:(Required)

Salary(Required)

Dates Employed(Required)

Example: 05-01-2007 thru 06-02-2012

Size of Church/ Institution(Required)

May we contact this church or institution for a reference?(Required)

Yes

Woud you like to add a third Ministerial Experience (#3)?(Required)

Yes

3.) Church or Institution(Required)

Address(Required)

Street Address City State ZIP Code

Position:(Required)

Salary(Required)

Dates Employed(Required)

Example: 05-01-2007 thru 06-02-2012

Size of Church/ Institution(Required)

May we contact this church or institution for a reference?(Required)

Yes

Woud you like to add a fourth Ministerial Experience (#4)?(Required)

Yes

4.) Church or Institution(Required)

Address(Required)

Street Address City State ZIP Code

Position:(Required)

Salary(Required)

Dates Employed(Required)

Example: 05-01-2007 thru 06-02-2012

Size of Church/ Institution(Required)

May we contact this church or institution for a reference?(Required)

Yes

Woud you like to add a fifth Ministerial Experience (#5)?

Yes

5.) Church or Institution(Required)

Address(Required)

Street Address City State ZIP Code

Position:(Required)

Salary(Required)

Dates Employed(Required)

Example: 05-01-2007 thru 06-02-2012

Size of Church/ Institution(Required)

May we contact this church or institution for a reference?(Required)

Yes

References

(Provide five (5) personal references outside of your current congregation or institution.)

1. Full Name:(Required)

Relationship(Required)

Phone(Required)

Email(Required)

Organization

Address(Required)

Street Address City State ZIP Code

2. Full Name:(Required)

Relationship(Required)

Phone(Required)

Email(Required)

Organization

Address(Required)

Street Address City State ZIP Code

3. Full Name:(Required)

Relationship(Required)

Phone(Required)

Email(Required)

Organization

Address(Required)

Street Address City State ZIP Code

4. Full Name:(Required)

Relationship(Required)

Phone(Required)

Email(Required)

Organization

Address(Required)

Street Address City State ZIP Code

5. Full Name:(Required)

Relationship(Required)

Phone(Required)

Email(Required)

Organization

Address(Required)

Street Address City State ZIP Code

Counseling Experience

Do you have any Clinical Pastor Education (CPE) credentials?(Required)

Yes

If yes, provide level and details on your training (location, number of hours, specializations, etc.).(Required)

Summarize your counseling experience:(Required)

Describe your counseling philosophy:(Required)

Teaching Experience

Summarize your biblical/theological teaching credentials and experience:(Required)

Describe your pedagogical approach:(Required)

Community Involvement

Summarize your current community involvement and service:(Required)

Objective

Describe your personal and/or professional objective in applying for this position:(Required)

Personal Statement of Faith

Summarize your personal statement of faith (limit to the space below):(Required)

Pastoral Focus and Philosophy

Summarize your pastoral focus and philosophy (limit to the space below):(Required)

If you answer "Yes" to any of the following questions, please upload a document(s) indicating the nature of the suit, offense, date, court, and disposition or other appropriate explanations.)

1.) Have you ever been convicted of a felony?(Required)

Yes

Upload appropriate documentation here.

Max. file size: 256 MB.

2.) Are you presently being investigated or under any procedure to consider discharge for misconduct?(Required)

Yes

Upload appropriate documentation here.

Max. file size: 256 MB.

3.) Has any employer ever subjected you to disciplinary action, suspended, terminated, or asked you to leave a job or volunteer position on the grounds of any unlawful sexual behavior, or violation of an employer's sexual misconduct or harassment policy?(Required)

Yes

Upload appropriate documentation here.

Max. file size: 256 MB.

4.) Have you ever been charged in a civil or criminal proceeding with improprieties regarding children?(Required)

Yes

Upload appropriate documentation here.

Max. file size: 256 MB.

5.) Have you ever entered a plea of guilty, a plea of "no contest"(nolo contendere), or has any court ever deferred further proceedings without entering a finding of guilt and placed on probation or in a public service or education program for any crime other than a minor traffic offense?(Required)

Yes

Upload appropriate documentation here.

Max. file size: 256 MB.

6.) Have you ever been suspended, discharged, or resigned in lieu of discharge from any position?(Required)

Yes

Upload appropriate documentation here.

Max. file size: 256 MB.

Additional Candidate Packet Documents

Your Candidate package may also include the following documents. Please upload them here.

Current resume or curriculum vitae

Max. file size: 256 MB.

Ministerial license(s) / Ordination certificate.

Max. file size: 256 MB.

Three letters of recommendation (2 clergies, personal)

Max. file size: 256 MB.

Links to sermons, Bible Study classes or other presentations (optional)

Final candidates shall consent to a reference check, a full background check including criminal history, a drug test, and credit check. These checks will be performed by an outside agency for complete confidentiality.

Signature(Required)

Date(Required)

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New Jerusalem Missionary Baptist UCC Church