* Indicates required field
Date of Birth*
Spouse's Name (if applicable)
Do you have children?*
If yes, how many?
Please list children's names and ages
Can you receive personal calls at work?*
Best phone to reach you at?*
Best time to contact you?*
Length of time at Reach Jacksonville?*
What service(s) do you normally attend?*
Profession or Trade*
Length of Time*
Please list your hobbies, talents and activities*
Ministries you are interested in serving with*
Do you have experience in the above area(s) of ministry?*
If yes, please explain
Why are you interested in serving with the above areas of ministry?*
Please describe how and when you came to know Jesus Christ as your Savior*
How has your life changed since becoming a Christian?*
Have you been baptized since becoming a Christian?*
If yes, when?
Please describe your devotional life (outside of church functions)*
Please describe the role of prayer in your life*
Please list Christian Teachers, Authors, etc. who have influenced you the most*
Please list any Christian education/discipleship courses you have attended*
Please list your spiritual gifts/talents*
Do you currently serve in a ministry?*
If yes, explain
Is there anything that may hinder you from serving in ministry?*
Is there any other information we should know about you?*
Pastor or Ministry Overseer who knows you best*
Reference 1 (not related)*
Reference 1 Phone*
Reference 2 Phone*
Have you read and understood Calvary Distinctives by Chuck Smith?*
* I have read the Reach Jacksonville Statement of Faith and agree to it without reservation.
* I understand that my life is a witness of Jesus Christ and I am living in accord with the Gospel.
* I understand that in order to serve in a teaching, counseling, or leadership capacity, I must complete the Leadership Application.
* I understand that I may be required to complete a Background Check and/or Fingerprint Check.
By signing below, you certify that you have read and understand the above statements.
Signature (full name)*
Thank you, and be blessed in God’s love for you.