Personal Fact Sheet


Conservative Mennonite Conference

Note: Submitting this form places you under no obligation. The information you give will help us to become better acquainted with you and to communicate more effectively regarding possible future ministries. Use additional paper when more space is required and number the items with their corresponding numbers. Please use ink. Thank you!

 

PERSONAL DATA

Name                                                                                                     Date

Address

Phone                                                                E-mail

Present occupation                                                                                 Spouse

Birth Date                                  Gender                                      Marital Status

Names of children

 

 

Do you have any physical limitations or pre-existing health conditions that might keep you from serving in certain types of ministry? If so, please list them.

 

CHRISTIAN LIFE AND CHURCH

 

Are you a born again Christian?                             How many years have you been a Christian?

Denomination                                                                            Church you attend

Conference

Describe your relationship to Jesus Christ

 

Describe your relationship with your home church

 

Describe how you relate to other people.

 

If you had to predict your life-long ministry patterns, in what ways do you think God might use you in kingdom building?

 

Which of the following statements best describes your development in verbal personal witnessing?

___  I do not feel deeply about verbal witnessing.

___  I have a definite desire to verbally share the Gospel with others but feel uncomfortable and ineffective in doing so.

___  I have received help in witnessing so that I find meaningful expression in sharing the Gospel.

 

Summarize any responsibilities or experiences you have had in church related assignments or activities.

 

Type of Service Number of Years         Place and/or organization

 

EDUCATION AND EXPERIENCE

Circle highest grade completed:

High School 8  9  10  11  12;     College 1 2 3 4;     Graduate School 1  2  3  4

 

Summarize your school history including any professional training.

Name of college City, State/ Province Years attended Degree-Year Rec’d      Major         Minor

 

Additional training, scholarships, honors, awards, certificates, or professional training

 

What languages do you speak, read and write other than English?

 

OCCUPATIONAL EXPERIENCE

List below all positions in which you have worked, beginning with the most recent. (Attach resume if available.)

 

 Month/Year Employer and Complete Address Duties and Skills in Detail
From
To
From
To
From
To
From
To

 

May we contact your employer(s)? _____Yes ______No

 

If yes, phone number(s)

 

What are your hobbies?

 

What are your long-range career interests?

 

ASSIGNMENT

Location(s) in which you are especially interested

 

When do you want to begin serving?

 

 

 

LEADERSHIP- Check areas in which you have experience:

 

___ Bible Study Leading      ___ Preaching                  ___ Teaching                 ___ Pastoring

 

___ Small Group Leading    ___ Worship Leading        ___  Administration        ___ Bible Instruction

 

___ Counseling                    ___Church Planting          ___ Prison Ministry        ___ Public Speaking

 

___ Pastoral Care/Ministry  ___Youth Ministry              ___ Recreational Leadership

 

 

PERSONAL REFERENCES

Please give the names of three references who know you well. Do not include close relatives. If your father is your pastor, please name another minister or lay leader.

 

                        Name                                Address Relationship / Phone number
Pastor:

 

 

 

 

Signed ___________________________________________________

 

Date ______________________________