Pastoral Application Form

Applicant Information

Name

Address

How long at this address?

This address will receive a confirmation email

Phone

Birthdate

Are you a citizen of the United States?

Marital Status

If Married, name of spouse

Names and ages of children (If Applicable)

Denomination

Date of Ministry License

Copy of Ministry License

Upload (8MB)

Date and Place of Ordination

Copy of Ordination Certificate

Upload (8MB)

Have you been baptized by immersion?

If you have not been baptized by immersion, would you consider being baptized by immersion?

Are you a certified/licensed counselor?

Copy of Counseling Certification

Upload (8MB)

Have you obtained a children and youth Child Protection Clearance for the State of Pennsylvania?

Have you filed for bankruptcy within the last 7 years?

If yes, please state the nature and circumstances of the bankruptcy and the current disposition.

Education

College/University, address and dates attended

Did you graduate?

Degree

Vocational/Technical School, address and dates attended

Did you graduate?

Degree

Seminary, address and dates attended

Did you graduate?

Degree

Other Academic Experience or Continuing Education:

What is your theological understanding /belief of ministry with regards to the role of the Pastor in the Church?

If you answer “Yes” to any of the questions in the following section, please upload a separate document indicating nature of the suit, offence, date, court and disposition or appropriate explanation. A conviction record will not automatically disqualify you. Other mitigating factors will be considered.

To your knowledge, are you presently being investigated or under a procedure to consider your discharge for misconduct by your current employer?

Has any employer ever subjected you to disciplinary action, suspension, termination or asked you to leave a job or volunteer position on the grounds of any unlawful sexual behavior or violation of an employer’s sexual misconduct or harassment policy?

Have you ever been charged in civil or criminal proceedings with improprieties regarding children?

Have you ever entered a plea of guilty, a plea of “no contest” or has any court ever deferred further proceedings without entering a finding of guilty and placed you on probation or in a public service or educational program for any crime other than a minor traffic offence?

Have you ever been suspended, discharged, or resigned in lieu of discharge for any position?

Have you ever been fired from any position?

Have you ever been convicted of a felony?

Disclosure of Legal History

Upload (8MB)

Work Experience

Please list your Secular Employment

Employer Details: (Address, Phone Number, Position Held, and Dates of Employment)

Name of Supervisor

Employer Email

May we contact this employer for a reference?

If no, please explain why.

Current Pastoral Assignment

Name of Church

Address

Dates of Employment

Phone Number

Reason for leaving (please be specific):

PLEASE LIST EXPERIENCE IN CHURCH RELATED MINISTRY (Church/Organization, location, dates served, and position

LIST YOUR HOBBIES AND/OR SPECIAL INTERESTS AND ABILITIES:

LIST OTHER ACTIVITIES (CIVIC/COMMUNITY) OR EXPERIENCES (BUSINESS, MILITARY, ETC.):

Leadership Roles

Leadership of a church involves several roles. Consider the following list:

CHURCH LEADERSHIP RESPONSIBILITIES:

☐ General Pastoral Care

☐ Oversight and coordination of day-to-day operations of the church.

☐ Preaching/Teaching

☐ Management and Administration.

☐ Youth Ministry.

☐ Virtual/Audio/Social Media Ministry,

☐ Training, Counseling and Mentoring.

☐ Outreach to the wider community.

☐ Support and oversight of staff and volunteers (leaders and coordinators of various activities).

☐ Collaborative decision making in boards or committees.

☐ Personal professional development.

☐ Networking, facilitating partnerships, promoting unity.

In which of these are you strongest? Explain

Provide example(s) of strengths in these areas:

In which of these areas do you need strengthening?

Professional References

Please provide three references who are qualified to speak of your spiritual experience and Christian service. Do not list family members or relatives for references. List your current pastor first, if applicable. (Name, Address, Phone Number, and Position)

Please provide three references who are qualified to speak of your professional training and experience, if applicable. Do not list family members of relatives for references.(Name, Address, Phone Number, and Position)

Deadline for all applications is December 15, 2023.

Additional items for submission, noted on the Vacancy Announcement, should be emailed or mailed to:

Pastoralsearch@thefirstbaptist.org

The First Baptist Church of Steelton
Attn: Peter Speaks, Esquire
Pastoral Vacancy Committee Chairperson
1850 S. 19th Street
Harrisburg, PA 17104
717-939-1318

Submitting additional items by

AGREEMENT (PLEASE READ CAREFULLY BEFORE SIGNING)

I certify that all the information in this application is accurate and completed to the best of my knowledge and I have not knowingly withheld any information that might adversely affect my chances for pastoral assignment. I understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my pastoral assignment.

Yes

I understand that neither the acceptance of this application nor the subsequent entry into any type of pastoral relationship with the First Baptist Church of Steelton creates an actual or implied contract. I understand that if I accept pastoral assignment with the First Baptist Church of Steelton, it will be on an at-will basis. This means that either the First Baptist Church of Steelton or I have the right to terminate the employment relationship at any time with cause.

Yes

Type full name for Digital Signature

*Confidentiality Statement

All information presented will be treated as confidential. Final candidates must consent to credit and criminal background checks and drug screenings. All confidential information contained within this application remains the exclusive property of the First Baptist Church of Steelton Pastoral Vacancy Committee. Once the selection process is completed all applications will be properly destroyed.

Pastoral Application Form

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