PERSONAL AND FAMILY
Would you like to keep this application confidential?   YES NO

First Name   Middle Initial   Last Name
   

Email:  
Date of birth:  
Address:  
City:  
State:  
Zipcode  
Mobile Phone:  
Home Phone:  
Work Phone:  
Other:  

Are you married?   YES NO
Date of marriage:  
Spouse's Name:  
Spouse's date of birth:  

Is your spouse officially involved in ministry?   YES NO
If so, what is his/her calling?

Have you ever been divorced?   YES NO

If you have children, list their names and ages below.
 
Name Age

Have you ever been charged with
a misdemeanor or felony?		   YES NO
If so, please explain.

How do you allocate time to spend with your family?

Do you or anyone in your family have
any physical or emotional needs that
might affect your pastoral ministry?		   YES NO

If yes, please explain in detail.

EDUCATION AND CREDENTIALS
Name of School Location Years Attended

Do you hold credentials with the Assemblies of God? YES NO
If so, what level? Certified
Licensed
Ordained
Date you received credentials:

Have you ever been disciplined or on rehabilitation? YES NO
If yes, please explain in detail.

FINANCES
Are your finances in good order and bills current? YES NO
If no, please explain in detail.
Do you tithe? YES NO

REFERENCES
Please list the names of five people who know you well and would be willing to serve as references. One of these should be your present District Superintendent or the District Superintendent for the last church in which you served. A second should be someone who knows you and your abilities. The other three should be people you have pastored.

Name Work Phone Cell Phone Relationship

PERSONAL CHRISTIAN EXPERIENCE
Please identify and discuss those experiences and/or people that you view as having been especially important to the development of your own Christian faith, life, behaviors and beliefs.

Do you operate in the Gifts of the Spirit? YES NO
 
PASTORAL EXPERIENCE
Please discuss your previous pastoral or Christian service experience. For each experience, tell what your responsibilities were, how long you served, the most important contributions you believe you made and your reasons for leaving. If you have had a long pastoral career please focus on your last two or three pastorates.

 
How would you describe your style of leadership?
 
How many staff pastors are under your direction?
 
What is or was the size of your non-pastoral personnel?
 
Has your current or most recent pastoral
position showed successful growth?		   YESNO

Describe.

 
Have you been involved in a congregational re-location, capital campaign or major church expansion? YES NO
If so, describe that situation and your involvement therein?

 
YOUR INTEREST IN FWC
How do you expect to relate to and work with the Board of Elders at FWC? Describe the relationship you envision.

 
Why are you seeking this position at this time, and why Family Worship Center in Murfreesboro, TN?

 
What qualifies you to pastor a potential 1000 member church and million+ dollar budget from a business point of view? Please list your business successes.

 
Thank you for taking your time to complete this Pastor's Information Form. In addition to this form, feel free to mail a copy of your resume' and CDs or DVDs of two sermons you have preached in the past six months.
 
Address:   Family Worship Center
1503 Sulphur Springs Rd.
Murfreesboro, TN 37130