Read APPALACHIAN DISTRICT SCHOOL OF MINISTRY text version

PO Box 459 190 Campground Rd. Selma, NC 27576 Phone: 919.965.0225 Fax: 919.965.0282 Email: [email protected] Web: www.ncag.org

PRINT LEGIBLY

PRACTICUM APPLICATION

PERSONAL INFORMATION Name: ___________________________________________________________________ Address: ___________________ City/State _________________________Zip________ Date of Birth: _____________ Social Security Number: ___________________ __ Married __ Single __ Divorced __ Widowed. Home Telephone: __________________________ Cell: _____________________________ E-Mail: ____________________________________________________________________ MINISTRY INTEREST Completed Preliminary Credential Application: ___ Yes ___ No

Position you may be interested in: _________________________________________________ Location: _______________________________ Ministry Desired: __Full-time __Part-time Pastor/Mentor: ________________________ __Temporary __ Permanent __ Lay ministry __ Ordained. __ Non

Level of completed studies: __Certified

__Licensed

(The North Carolina District is not responsible to provide a place of ministry. The applicant is responsible to find their own assignment with a pastor or mentor.) MINISTRY EXPERIENCE

(If necessary, write on back of form or attach separate copy.)

APPLICATION FEE $75 application fee must accompany application.

Completing the Practicum does not guarantee approval for credentials or advancement.

1

Information

APPALACHIAN DISTRICT SCHOOL OF MINISTRY

1 pages

Find more like this

Report File (DMCA)

Our content is added by our users. We aim to remove reported files within 1 working day. Please use this link to notify us:

Report this file as copyright or inappropriate

1263329


You might also be interested in

BETA
Microsoft Word - 051129 Handbook.doc