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 |