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Short Term Assignment Application
Ministry
Please indicate desired type of ministry:
children's outreach(VBS,BYBC)
construction
ESL
sports ministry
medical
All Church Challenge
other
General Assembly
Where are you interested in serving?:
Regionally
Nationally
Internationally
When are you available/willing to serve?:
Please indicate any significant ministry training/certification:
What type of Short Term work have you completed previously?:
Category of Service
Categories of Service:
Short Term Assignment
Disaster Response
Special Event ____________
General Assembly
Applicant Info
Please indicate which you are:
Individual
Team Leader
Member of a team
Please upload a picture:
Upload:
Upload file
Full Name:
Preferred Name:
Address:
City:
State:
Zip Code:
Home Phone:
(
)
-
Second part
Third part
Other Phone:
(
)
-
Second part
Third part
E-mail:
Gender:
Male
Female
Date of Birth:
Check any that apply:
Married
Single
Engaged
Separated
Widowed
Health Issues
Are you in good health?:
Yes
No
Do you have any health issues/mobility restrictions? If so, please explain:
Church Information
Name of church where you are a member:
Address:
City:
State:
Zip Code:
Website:
Pastor:
Denomination:
Education
Please select all that apply:
High School
Trade School
College
Graduate School
Seminary
Please list degrees earned:
Employment History
Job Title:
Employer:
Dates of Employment:
International Service Only
Passport Number:
Expiration Date:
Name EXACTLY as it appears on passport:
Release Waiver
I understand that the Cooperative Baptist Fellowship and its associates do not assume any responsibility for loss of property, damage to the same, personal harm, or illness that may come; and I, for myself, my heirs, executors, administrators, distributees and assigns, in consideration of my admission to short term service and other good and valuable considerations, do hereby absolve said Cooperative Baptist Fellowship and hold said institution and its associates harmless from any claim or demand which I or they might conceivably assert upon the basis of foregoing by the submission of this electronic document.
NOTE: Any applicant 18 years old or younger, must print off the above form, have it signed by a parent, and mail it to the CBF Resource Center in Atlanta.
The submission of this application does not constitute acceptance for work on a short term opportunity project. Some opportunities will require a background check. Each applicant needing a background check will be responsible for these fees.
The information that I have provided on this form is accurate and true to the best of my knowledge. Cooperative Baptist Fellowship representatives are hereby authorized to gather information as it relates to the process of my particular short term engagement location. For all projects, a nominal fee will be required to cover the cost of a mandatory background check. All gathered information and forms will be kept on file for one (1) year. Any documents completed and provided during the application process become the property of the Cooperative Baptist Fellowship and will not be returned.