Team Application

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Date of Birth *

MM

DD

YYYY

Are you a legal resident of the U.S.? *

Yes

No

Encounter Leadership Center: *

Please select all areas that interest you

Singer

Sound Technician (minor experience with live sound equipment - training provided)

Bus Driver (must have minimum CDL class C with Passenger endorsement or willing to attain it before arrival)

Do you have experience with any of the following?

Musical Instruments

Drama/Acting

Art

Maintenance/Mechanical

Secretary/Administrative

Graphic Design/PowerPoint Layout

Public Speaking/Teaching

Working with Children or Teens

Photography/Videography

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Do you have any physical or mental conditions which may limit your ability to perform the ministry for which you have applied? *

Yes

No

Do you now or have you ever used any narcotics, hallucinogens or drugs not prescribed by a physician? *

Yes

No

Do you now drink alcoholic beverages? *

Yes

No

Do you now smoke? *

Yes

No

Have you ever been convicted of a felony? *

Yes

No

Do you currently view pornography? *

Yes

No

Have you ever been accused of, participated in, or been convicted of sexual abuse with a minor? *

Yes

No

Are you willing to give up any social habits that would lessen your effectiveness and your influence as an Encounter Staff Member? *

Yes

No

Name *

First Name

Last Name

Phone *

(###)

###

####

Name *

First Name

Last Name

Phone *

(###)

###

####

Name

First Name

Last Name

Phone

(###)

###

####

We have reviewed the application? *

Yes

No

Do you agree with ERM's Statement of Faith? *

Yes

No

Have you read the Policy Manual? *

Yes

No

Date *

MM

DD

YYYY