Personal Information
Name:
Date of Birth:
Marital Status
—Please choose an option— Single In a Relationship Engaged Married Widowed Divorced
Date Received Christ:
Are you a U.S. Citizen?
Yes No
Passport Number
Passport Expiration Date
Your Contact Information
Email:
Phone (xxx-xxx-xxxx):
Address:
City:
State: —Please choose an option— AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Emergency Contact Information (e.g. Parents)
Name(s):
Relationship to you:
Email:
Phone (xxx-xxx-xxxx):
Address:
City:
State: —Please choose an option— AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Educational, Employment, and Skill Information
Highest level of education achieved:
High school graduate Current college student Some college College graduate Some post-graduate work Post-graduate degree
What college(s)/university(ies) did/do you attend?
What degree(s) have you earned?
Are you certified to teach?
Yes No
Note: certification is not required to teach at Destino del Reino
How many years of teaching experience do you have?
College Activities:Check all that apply
Please provide specific information about your College Activities in box below.
Scholastic Honors Student Government Fraternity/Sorority Resident Assistant Club Memberships Drama and/or Music Athletics Campus Ministry Church Ministry Other
Ministry Skills and TalentsCheck all that apply
Drama Organization Technology Children Music Language Minimal Conversational Fluent
Are you currently employed?
Yes No
Name of Current Employer:
Current Occupation/Job Title:
When did you start working at your current job?
Please provide past employment information (Employer/Job Title/Dates):
Religious Background
What church do you attend?
If you were to die tonight, where would you go, to heaven or hell?
—Please choose an option— Heaven Hell Neither Unsure
How certain are you?
—Please choose an option— 0-19% 20-39% 40-59% 60-79% 80-99% 100%
If you were standing at the gates of heaven and God asked you why he should let you in, what would you say?
How did you come to know the Lord?
Describe your relationship with God. What has God been teaching you recently?
Is there a particular struggle in your life that the staff of Destino should be aware of? If so please specify.
Why have you decided to apply to teach at Destino del Reino? Describe the events that have led up to this decision.
What do you think would be your specific contributions to the ministry during your time at Destino del Reino?
What is your understanding of the Spirit-filled life?
Are you willing to follow Destino del Reino policies and leadership even though you may not agree with them in every situation?
Yes No
Why or why not?
How confident are you in sharing your faith?
—Please choose an option— Not very Average Confident Very Confident
I share my faith:
—Please choose an option— Weekly Monthly Occasionally Seldom Never
Have you had experience with the following things?Check all that apply
Personal quiet time with the Lord Bible Study Attending Bible Study Leading Evangelism Being discipled Discipling someone
Personal Questions
How have you spent your last two summers?
Are you dating someone who is applying to work or currently works at Destino?
Yes No
If yes, who?
Do you have a police or prison record?
No Yes
If Yes , please explain:
Do you consume alcoholic beverages?
Yes No
In what situations and how often do you drink alcohol?
Would you consider this an area with which you struggle?
No Yes
Do you have any particular conditions which may limit you, such as serious allergies requiring medication, back problems, limited mobility, extremely poor eyesight, hearing loss, etc. ?
No Yes
If Yes , please explain:
Are you currently or have you been under a doctor/psychiatrist or counselor’s care in the past year?
No Yes
If Yes , please explain:
Is there any other information that you feel we should know regarding your application?
References
Spiritual Leader Reference #1 (Preferably pastor/campus ministry leader)
Name:
Relationship to you:
Email:
Phone (xxx-xxx-xxxx):
Address:
City:
State: —Please choose an option— AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Spiritual Leader Reference #2 (Preferably someone who is currently a spiritual leader in your life)
Name:
Relationship to you:
Email:
Phone (xxx-xxx-xxxx):
Address:
City:
State: —Please choose an option— AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Peer Reference (A friend or roommate of the same gender)
Name:
Relationship to you:
Email:
Phone (xxx-xxx-xxxx):
Address:
City:
State: —Please choose an option— AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Verify Code:
