*Denotes Required Field * Title * Full Name: * Full Address: * Email: * Primary Phone #: ( ) - Marital Status * Birthdate: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 SPIRITUAL HISTORY * Have you been baptized? Yes No If no, are you interested in pursuing that possibility as a step in your spiritual growth? Yes No * Are you a member of Central Heights? Yes No If no, is that something you would be open to learning more about? Yes No * How long have you attended Central Heights Church? If less than two years, please list previous church: * We love to hear stories of how Jesus transforms lives. Could you tell us about your relationship with Jesus and what he is doing in your life today? MINISTRY AREA * I am interested in the following ministry area: * What is it that has inspired you to be interested in this area of service? RELATED EXPERIENCE * What spiritual gifts, training, practical experience or other qualifications would contribute to your effectiveness in the area of ministry you are applying for? REFERENCES Please give two references, excluding relatives. * Reference #1: (Name, email address, relationship) Reference #2: (Name, email address, relationship) RELEASE OF INFORMATION & DECLARATION OF INTENT I hereby give the church consent to contact the references listed. I hearby acknowledge that, to the best of my knowledge, the information contained in this application is true and correct. Please type your full name below if you agree with the above statements. * Full Name:
