Full Time Counselor Application

Please respond to the following questions honestly. Make sure to allow enough time to fill out the form in it's entirety. There isn't an option to save and return to it later.

Name *

First and last

Email *

Mobile Phone *

Address *

Address Line 2

City *

Province *

Postal Code *

Country *

Emergency Contact Person *

First and last name

Phone number *

Have you ever been convicted of a crime? *

Yes

Please explain *

Have you ever been involved, accused or convicted of sexual, emotional, or physical abuse? *

Yes

Please explain *

Personal Spiritual Journey

Please respond to the following questions

Describe how you are currently growing in your faith *

Please let us know anything else you feel we should know about you.

First Reference

A pastor, youth pastor, or someone in leadership in the church that knows you.

Name *

First and last

Relationship to you *

Phone *

Email Address

Second Reference

Someone who has observed you in Chrisitian service or ministry - or a previous employer

Name *

First and last

Relationship to you *

Phone *

Email Address

For returning applicants, the staff member overseeing the area you have applied for will contact you for a phone or in person meeting.

Church Information

More About You

Personal Reflection

Personal Spiritual Journey

First Reference

Second Reference

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