If you would prefer to download a copy of the application form and complete with a pen please DOWNLOAD HERE

ABOUT YOU

First Name
Last Name
Age
Gender
Email Address
Age
Birth Date (DD/MM/YYYY)
Current Address No. Street Name:
City
Province/State
Postal/Zip Code
Country
Phone Number
EDUCATION INFORMATION
Highest School or University Level Completed
Currently Enrolled as a full time or part time student at
 WORK EXPERIENCE
Company or Organization
Part Time or Full Time
Responsibilities Include
Nights and Days I work
LEADERSHIP EXPERIENCE
Please describe all your leadership experiences you have had
OCCUPATIONAL SKILLS
Please list your occupational skills (e.g. cooking, maintenance, administration, computers, etc.
CREATIVE ABILITIES, TALENTS, AND HOBBIES
Please list your creative abilities or talents (e.g. music, leading worship, art, dance, design, etc.)
Please list your hobbies
CHURCH INFORMATION
Current local church attending
How long have you attended this church?
What sort of involvement have you had with your church
CHRISTIAN FAITH
When did you become a Christian? How did it happen?
How has your relationship with God been for the past year or two?
PERSONAL PROFILE
Please write an assessment of your abilities on a scale of 1-6 (1=poor / 6=excellent) Please spread your answer out over at least 3 numbers (example: a 3-5 or a 4-6 or a 1-3) Include a comment if necessary.
Cheerefulness
Self-esteem
Self-discipline
Flexibility
Teachability
Punctuality
Reliability
Easy to motivate
Ability to follow
Anger management
Perseverance
Ability to cope with stress
Moral standards
Sensitivity to the needs of others
Attitude to work
Social adaptability
Willingness to serve
Friendly / Polite
Commitment
Sense of responsibility
Teamwork
Co-operation
Initiative
Planning
Setting goals
Communication
Passing on ideas
Motivation
Ability to teach
Organized
Academic ability
Judgment / Decision making
Personal appearance
General health
Financial responsibility
Emotional / Mental stability
SELF-ASSESSMENT
What are your strengths?
What would you consider to be your weaknesses?
What could be the biggest challenges for you in the program?
We will be "in community" is there anything we should know about you that could affect others around you?
PERSONAL QUESTIONS ABOUT DUSTY FEET
Why did you choose Dusty Feet and what is your motivation to join us?
What are your expectations of the program?
REFERENCES
Please provide the names of the three people at least 20 years of age who you know you well and have agreed to act as your references. At least one should be a Christian worker (Pastor, Youth Pastor, Christian group leader, etc.). Indicate if the phone number is a home or work number.
Send each reference one of the Reference forms, which you can download here. It is your responsibility to make sure they send it directly to us. We cannot process your application until we receive all three references.
You can also send them the following link so they can complete on line.
If you wish to send them to the on-line version of the reference give them the following link: http://www.swaddling.org/dustyfeetreference.html
1. Name of Reference
Position
Phone: ....
2. Name of Reference
Position
Phone: ....
I have downloaded the and I will give a copy to each of my three references.
Date of Submission:
Please include any comments or questions you may have about your application.

IT IS NOW TIME TO SUBMIT YOUR APPLICATION