Application to Serve
Last revision: 10/27/2017 8:04 AM
Application to Serve Please return to Edna Vaughan at [email protected]
Applicant Information Applicant Full Name: ____________________________________________________________ Home Address: _________________________________________________________________ City/State/Zip: _________________________________________________________________ Day Time Phone: ________________________
Evening Phone: _______________________
Mobile Phone: __________________________ Email Address: _________________________________________________________________ Present Home Emmaus Ministries Community: ________________________________________
2- Area(s) of Service being applied for: [ ] Communicator
[ ] Consultant
[ ] Community Trainer
[ ] Start-Up Trainer
3- Are you at least 18 years old?
[ ] Yes
[ ] No
5- If married, will your spouse support your involvement?
[ ] Yes
[ ] No
Spouse’s Name: ___________________________________
1
Last revision: 10/27/2017 8:04 AM
6- Emmaus Ministries experience a. When and where was your Emmaus Ministries event? (Indicate the Community, Event – Walk, Flight, Encounter, etc - Event #, and year): _____________________________________ _____________________________________________________________________________
b. Service Experience with Emmaus Ministries (e.g. Agape Support, Table Leader, Walk Lay Director, …). Please provide as much information as possible. Year
Experience
Program
Previous years
(Positions/Talks given) Fall 2013
Table Leader
Chrysalis
Community
2008; 2010
List more on back if necessary c. In what capacity have you served with your local Board of Directors? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
d. What other Community Activities have you participated in? ___ Group Reunion
___ Gatherings
___ Sponsors Hour
___ Candlelight
___ Closings
___ Sponsoring
___ Committees
___ Other (explain): ________________________ 2
Last revision: 10/27/2017 8:04 AM
e. Are you presently part of a Reunion/Accountability Group?
[ ] Yes
[ ] No
f. Have you ever attended an Emmaus Ministries Leadership Development Event? [ ] Yes
[ ] No
7- Experience outside your community: Have you ever served as a(n): [ ] Emmaus Ministries Regional Leader [ ] Emmaus Ministries Assistant Regional Leader [ ] Member of the International Advisory Committee Have you served in other 4th Day movements like Kairos, Tres Dias, Via De Cristo, Cursillo in a different area or country? (Please provide details). ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
Have you ever served in leadership in other ministries in your church? ______________________ ______________________________________________________________________________ ______________________________________________________________________________ 8- Education and Training College(s) / University(ies) you attended: ___________________________________________ Degree(s) received (add dates):
__________________________________________ __________________________________________
High School: ___________________________________________________________________ Did you receive a degree?
[ ] Yes
[ ] No
Other Training: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________
3
Last revision: 10/27/2017 8:04 AM
9- Skills List any skills you believe will be helpful in the area in which you will be serving. _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________
10- Languages 1. Spanish ____________________ [ ] Read
[ ] Speak
[ ] Write
[ ] Fluent
2. Korean ____________________ [ ] Read
[ ] Speak
[ ] Write
[ ] Fluent
3. Other
[ ] Speak
[ ] Write
[ ] Fluent
____________________ [ ] Read
11- Financial Resources and Availability For Communicators, only: [ ] I have access to an online computer and a telephone, in order to perform my duties. For Community Trainers, only: [ ] I will be available to train throughout the Community in which I serve. For Consultants and Start-Up trainers, only: Can you travel as needed to consult with, or train Communities for restart? ___________________ [ ] I understand that I will be reimbursed for my qualified personal expenses.
4
Last revision: 10/27/2017 8:04 AM
12- References Please provide contact information of your pastor and two Emmaus Ministries leaders in your community who can speak honestly about your gifts and abilities in the area in which you are applying. a. Emmaus Ministries Board Clergy reference: ________________________________________ Day Time Phone: ________________________
Evening Phone: _______________________
Email Address: __________________________________ b. Emmaus Ministries Community Lay Director/Board Chair reference: ______________________________________________________________________________ Day Time Phone: ________________________
Evening Phone: _______________________
Email Address: __________________________________ c. Your Pastor: _____________________________________________ Church/Denomination: __________________________________________________________ Day Time Phone: ________________________
Evening Phone: _______________________
Email Address: _______________________________________
[ ] I give permission for The Upper Room to contact these persons for reference
For Community Trainers only: Please submit a written recommendation from your Board of Directors.
[ ] I certify that the information provided on this application is truthful and accurate. I understand that providing false and misleading information will be a basis for rejection of my application or if service commences, immediate termination.
_____________________ Applicant’s Signature
_________________ Date
5
Last revision: 10/27/2017 8:04 AM
SHORT ESSAYS A- Share a situation in which you encountered a major setback, and successfully explored a new direction.
B- Describe a specific instance in which you used a skill that is helpful in the area of service for which you are applying.
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Last revision: 10/27/2017 8:04 AM
C- What quality or attribute do you feel will most contribute to your success in the position you are applying for?
D- Cite a challenging issue in your Emmaus/Chrysalis/Face to Face community and explain how you would encourage your Board of Directors to proceed with it?
7
Last revision: 10/27/2017 8:04 AM
E- Many communities tell us they struggle with finding enough clergy to fill their teams. What steps would you suggest the board to take?
Please return to Edna Vaughan at [email protected]
8
Application to Serve Please return to Edna Vaughan at [email protected]
Applicant Information Applicant Full Name: ____________________________________________________________ Home Address: _________________________________________________________________ City/State/Zip: _________________________________________________________________ Day Time Phone: ________________________
Evening Phone: _______________________
Mobile Phone: __________________________ Email Address: _________________________________________________________________ Present Home Emmaus Ministries Community: ________________________________________
2- Area(s) of Service being applied for: [ ] Communicator
[ ] Consultant
[ ] Community Trainer
[ ] Start-Up Trainer
3- Are you at least 18 years old?
[ ] Yes
[ ] No
5- If married, will your spouse support your involvement?
[ ] Yes
[ ] No
Spouse’s Name: ___________________________________
1
Last revision: 10/27/2017 8:04 AM
6- Emmaus Ministries experience a. When and where was your Emmaus Ministries event? (Indicate the Community, Event – Walk, Flight, Encounter, etc - Event #, and year): _____________________________________ _____________________________________________________________________________
b. Service Experience with Emmaus Ministries (e.g. Agape Support, Table Leader, Walk Lay Director, …). Please provide as much information as possible. Year
Experience
Program
Previous years
(Positions/Talks given) Fall 2013
Table Leader
Chrysalis
Community
2008; 2010
List more on back if necessary c. In what capacity have you served with your local Board of Directors? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
d. What other Community Activities have you participated in? ___ Group Reunion
___ Gatherings
___ Sponsors Hour
___ Candlelight
___ Closings
___ Sponsoring
___ Committees
___ Other (explain): ________________________ 2
Last revision: 10/27/2017 8:04 AM
e. Are you presently part of a Reunion/Accountability Group?
[ ] Yes
[ ] No
f. Have you ever attended an Emmaus Ministries Leadership Development Event? [ ] Yes
[ ] No
7- Experience outside your community: Have you ever served as a(n): [ ] Emmaus Ministries Regional Leader [ ] Emmaus Ministries Assistant Regional Leader [ ] Member of the International Advisory Committee Have you served in other 4th Day movements like Kairos, Tres Dias, Via De Cristo, Cursillo in a different area or country? (Please provide details). ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
Have you ever served in leadership in other ministries in your church? ______________________ ______________________________________________________________________________ ______________________________________________________________________________ 8- Education and Training College(s) / University(ies) you attended: ___________________________________________ Degree(s) received (add dates):
__________________________________________ __________________________________________
High School: ___________________________________________________________________ Did you receive a degree?
[ ] Yes
[ ] No
Other Training: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________
3
Last revision: 10/27/2017 8:04 AM
9- Skills List any skills you believe will be helpful in the area in which you will be serving. _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________
10- Languages 1. Spanish ____________________ [ ] Read
[ ] Speak
[ ] Write
[ ] Fluent
2. Korean ____________________ [ ] Read
[ ] Speak
[ ] Write
[ ] Fluent
3. Other
[ ] Speak
[ ] Write
[ ] Fluent
____________________ [ ] Read
11- Financial Resources and Availability For Communicators, only: [ ] I have access to an online computer and a telephone, in order to perform my duties. For Community Trainers, only: [ ] I will be available to train throughout the Community in which I serve. For Consultants and Start-Up trainers, only: Can you travel as needed to consult with, or train Communities for restart? ___________________ [ ] I understand that I will be reimbursed for my qualified personal expenses.
4
Last revision: 10/27/2017 8:04 AM
12- References Please provide contact information of your pastor and two Emmaus Ministries leaders in your community who can speak honestly about your gifts and abilities in the area in which you are applying. a. Emmaus Ministries Board Clergy reference: ________________________________________ Day Time Phone: ________________________
Evening Phone: _______________________
Email Address: __________________________________ b. Emmaus Ministries Community Lay Director/Board Chair reference: ______________________________________________________________________________ Day Time Phone: ________________________
Evening Phone: _______________________
Email Address: __________________________________ c. Your Pastor: _____________________________________________ Church/Denomination: __________________________________________________________ Day Time Phone: ________________________
Evening Phone: _______________________
Email Address: _______________________________________
[ ] I give permission for The Upper Room to contact these persons for reference
For Community Trainers only: Please submit a written recommendation from your Board of Directors.
[ ] I certify that the information provided on this application is truthful and accurate. I understand that providing false and misleading information will be a basis for rejection of my application or if service commences, immediate termination.
_____________________ Applicant’s Signature
_________________ Date
5
Last revision: 10/27/2017 8:04 AM
SHORT ESSAYS A- Share a situation in which you encountered a major setback, and successfully explored a new direction.
B- Describe a specific instance in which you used a skill that is helpful in the area of service for which you are applying.
6
Last revision: 10/27/2017 8:04 AM
C- What quality or attribute do you feel will most contribute to your success in the position you are applying for?
D- Cite a challenging issue in your Emmaus/Chrysalis/Face to Face community and explain how you would encourage your Board of Directors to proceed with it?
7
Last revision: 10/27/2017 8:04 AM
E- Many communities tell us they struggle with finding enough clergy to fill their teams. What steps would you suggest the board to take?
Please return to Edna Vaughan at [email protected]
8
