Please print clearly using black ink or type all responses

 

PERSONAL                                                                                                                         

                                                                                    

Name:                                                                                      Date:                                      

 

Address:                                                                                                                                 

 

City:                                                    State:                           Zip Code:                               

 

Contact Phone Number(s):                                                                                                    

 

Social Security Number:                                                                    

 

1.  Do you have any physical conditions that may limit your ability to perform the particular job for which you are applying?               YES    NO   

(If YES, please describe the condition and accommodations you may need):

                                                                                                                                                                                                                                                                                                                                                                                                                                               

2. Are there any experiences, skills, or qualifications which you feel would especially benefit your work with our organization?

________________________________________________________________________________________________________________________________________________________________________________________________________________________

3.  Have you been convicted of a crime in the past ten (10) years?       YES     NO

(If YES, please describe in full):

                                                                                                                                                                                                                                                                                                                                                                                                                                               

 

4.  Do you use tobacco or alcoholic beverages of any form?     YES      NO

 

 

5.  Have you ever been rejected by any Mission Board?  YES     NO

(If YES, what grounds?)

                                                                                                                                                                                                                                                                                                                                                                                                                                               

6. Are you consistent in maintaining private and/or family worship in your home?

YES       NO

7.  Do you regularly attend or are you a member of a church?       YES    NO

            If YES, what church?                                                                Pastor                                  

 

EDUCATION                                                                                                                      

 

High School

Name:                                                                 State                  Year Graduated                

 

College(s)/Universities

Name:                                                                 State                              Year Graduated                

Degree Obtained                                                                    

Name:                                                                 State                              Year Graduated                

Degree Obtained                                                                    

 

Bible College(s)

Name:                                                                 State                              Year Graduated                

Degree Obtained                                                                    

Name:                                                                 State                              Year Graduated                

Degree Obtained                                                                    

REFERENCES other than relatives (4)                                                                            

 

1.  Name                                                                Telephone:                                                

Address:                                                            City, State, Zip                                            

2.  Name                                                                Telephone:                                                

Address:                                                            City, State, Zip                                            

3.  Name                                                                Telephone:                                                

Address:                                                            City, State, Zip                                            

4.  Name                                                                Telephone:                                                

Address:                                                            City, State, Zip                                            

 

Have you read carefully the AICM’s Statement of Belief and agreed to its contents?  

(See page 5)                YES    NO

 

                                                                                                           

Signature                                                         Date

 

 

EMPLOYMENT HISTORY                                                                                              

 

List below all present and past employment, beginning with your most recent:

 

Name and Address of Employer	MO	YR	MO	YR	Describe the work you did	Starting Salary	Last Salary	Reason for leaving	Name of Supervisor
Telephone

 

Name and Address of Employer	MO	YR	MO	YR	Describe the work you did	Starting Salary	Last Salary	Reason for leaving	Name of Supervisor
Telephone

 

Name and Address of Employer	MO	YR	MO	YR	Describe the work you did	Starting Salary	Last Salary	Reason for leaving	Name of Supervisor
Telephone

 

Name and Address of Employer	MO	YR	MO	YR	Describe the work you did	Starting Salary	Last Salary	Reason for leaving	Name of Supervisor
Telephone

 

May we contact the employers listed above?    YES    NO

(If NO, which ones do you not wish us to contact?)

                                                                                                                                                                                                                                                                                               

The facts set forth in my Application for Employment are true and complete.  I understand that if employed, false statements on this application shall be considered sufficient cause for dismissal.  The AICM is hereby authorized to make any investigation of my personal history and financial credit record that they see necessary.

 

 

                                                                                                                       

Signature                                                                     Date

 

 

 

TESTIMONY OF YOUR CHRISTIAN FAITH                                                             

(In your words, let us know your Christian faith)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BIOLOGRAPHICAL INFORMATION                                                                          

 

How large was your family when you were growing up?

                                                                                                                                               

 

At what age did you leave home?                                                                                         

 

How large was the town/city in which you lived as a child?                                                

 

What are your current hobbies and interests?

                                                                                                                                                                                                                                                                                               

What magazine/books do you regularly subscribe to read?

                                                                                                                                                                                                                                                                                                                                               

STATEMENT OF BELIEF                                                                                                   

God is the creator or our world and everything in it.  He is the Sustainer and Lord of our lives.  He has no beginning and will have no end.  He is eternal.

 

Jesus Christ is the one and only living Son of God, and our Savior.  He is God incarnate; God revealed in human form.  Jesus Christ and God are one.  Through His death on the cross, Jesus took all of our sins upon Himself and they died with Him.  Through His resurrection, we have the promise or eternal life with Him if we will accept Him as our Lord and Savior, be baptized into Him, and be obedient to all that He commands.

 

The Holy Spirit is a divine person existing eternally.  He is God.  His purpose is to encourage, guide, and intercede for us to transform us in the way of Christ.  We believe that the Holy Spirit inhabits the soul of all Christians as a gift bestowed upon them when they accept Jesus Christ as their Lord and Savior.

 

The Bible is the inspired, unerring Word of God.  It contains all we need to know to be able to live our Christian lives to the fullest and to tell others what they must do to accept Jesus Christ as their Lord and Savior.

 

The Bible teaches baptism (immersion) of the repentant believer for the forgiveness of sins and for receiving of the indwelling of the Holy Spirit.

 

God, who created all things, will one day bring life to earth to a conclusion.  Christ will return at that time and call all Christians to Him.  No one knows what time or date when this will occur.

 

All persons, of all races, have been created in the image of God and we are all the same in the sight of God.

 

AS A RESULT OF WHAT WE BELIEVE                                                              

While we realize that there is room for differences of understanding in some areas of Bible teaching, we require all those who minister with us here to understand and agree with that we believe.

 

• We expect all who minister here with us to strive for Christian maturity and to work in harmony with other on the staff
• We expect all who minister here with us to understand and submit to the authority of the leadership of AICM
• We expect all who minister here with us to be faithful followers of Jesus Christ.  This includes regular worship with a body of believers
• In our regular worship services, we will include “The Lord’s Supper” or “Communion”, as a remembrance of the death, burial, and resurrection of our Lord and Savior Jesus Christ.
• We will not teach, nor will we practice, what is commonly called “speaking in tongues”

 

USE OF THE STATEMENT OF FAITH                                                                             

 

1. The Statement of Faith shall be given to every person prior to their being offered employment at AICM
2. Persons shall only be employed at AICM if they are in complete agreement with the Statement of Faith.  If a person changes their beliefs with respect to the Statement of Faith following their employment at AICM, they may be asked to leave the employment of this organization.