Are you a citizen of the United States?
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No
Marital Status
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Married
Single
Divorced
Widowed
Separated
Have you been baptized by immersion?
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Yes
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If you have not been baptized by immersion, would you consider being baptized by immersion?
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Yes
No
Are you a certified/licensed counselor?
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Yes
No
Have you obtained a children and youth Child Protection Clearance for the State of Pennsylvania?
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Yes
No
Have you filed for bankruptcy within the last 7 years?
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Yes
No
Did you graduate?
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No
Did you graduate?
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Yes
No
Did you graduate?
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Yes
No
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?
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Yes
No
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?
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Yes
No
Have you ever been charged in civil or criminal proceedings with improprieties regarding children?
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Yes
No
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?
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Yes
No
Have you ever been suspended, discharged, or resigned in lieu of discharge for any position?
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Yes
No
Have you ever been fired from any position?
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Yes
No
Have you ever been convicted of a felony?
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Yes
No
Please list your Secular Employment
May we contact this employer for a reference?
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Yes
No
Current Pastoral Assignment
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.
Or
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
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AGREEMENT (PLEASE READ CAREFULLY BEFORE SIGNING)
*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.