60 Haight Street, San Francisco, CA 94102-5895 415.864.2600 www.jewsforjesus.org SHORT-TERM MINIST...

60 Haight Street, San Francisco, CA 94102-5895415.864.2600 www.jewsforjesus.org SHORT-TERM MINISTRY APPLICATION

PERSONAL INFORMATION

Name:

Address:

City/State/Postal code:

Home phone:

Cell phone:

Applicant Email:

Birth date:

Date

T-shirt size:

Citizenship (list the country):

Please attach a photo of yourself:

Select File

Desired Area of Service:

NY Fall Outreach Campaigner (street evangelism)NY Fall Outreach Steward (on site, behind the scenes)Behold Your God (BYG) Campaigner*Behold Your God (BYG) Steward*Other

What dates are you able to serve?

How many weeks could you serve?

FAMILY LIFE

1. Please indicate which of your immediate family members are Jewish in the check boxes below.

Maternal:

MotherGrandmotherGrandfather

Paternal:

FatherGrandmotherGrandfather

My mother is a:

BelieverUnbeliever

My father is a:

BelieverUnbeliever

Do they know of this application?

YesNo

2. Marital Status

Name of spouse, if applicable:

Is your spouse a believer in Jesus?

YesNo

Please indicate which of your spouse's immediate family members are Jewish in the check boxes below.

Maternal:

MotherGrandmotherGrandfather

Paternal:

FatherGrandmotherGrandfather

If married, does your spouse know of this application?

YesNo

Is he/she in sympathy with it?

YesNo

3. Do you have a valid driver's license?

YesNo

4. Have you ever been convicted of a felony?

YesNo

If yes, please explain:

5. Do you have health insurance?

YesNo

If yes, check those which apply:

MedicalHospitalizationOther

Carrier

Policy #

6. Rate your condition of health:

ExcellentGoodFairPoor

7. Are you presently under a doctor's care for any health condition?

YesNo

If yes, please explain:

If you take medication, please state what kind and amount:

8. Do you smoke?

YesNo

9. Have you abused alcohol or drugs in the past three years?

YesNo

If yes, please explain:

10. Please tell us about any hobbies, sports, spare-time activities that you participate in regularly:

11. What single book, other than the Bible, has had a significant impact upon your life?

EDUCATION AND WORK EXPERIENCE

1. Highest level of education you"ve completed (include the name of the school), or what vocational licenses you have:

2. Are you currently employed?

YesNo

Where and for how long?

3. If you are currently unemployed, when were you last employed?

4. Please describe a leader or supervisor for whom you have worked, whom you feel handled authority rather well.

Describe the individual's personality qualities:

5. Please describe one or two personal teamwork experiences. Also, please mention what you believe the basic elements of good teamwork to be.

(50-100 words)

6. What is your primary language?

Do you speak any other languages?

YesNo

If yes, please list the language(s) and your level of proficiency on a range of 1-5 as follows: 1-Beginner; 2-Intermediate; 3-Fluent; 4-Advanced; 5-Native speaker proficiency

Language:

WITNESSING EXPERIENCE

1. Please select your level of experience for each of the following skills:

	Extensive experience	Some experience	Minimal experience	No experience
Literature distribution
Personal evangelism
Street preaching
Public testimony
Drama
Leading music
Jewish evangelism
Leading a Bible study
Planning conferences/ retreats
Youth and children"s activities

2. Are you currently involved in a regular program of outreach in your community?

YesNo

If yes, describe your involvement:

SPIRITUAL LIFE

1. The congregation I attend is:

Name:

Leader's name:

Address (street/city/state/zip code):

Country:

Phone:

E-mail

2. Are you a member?

YesNo

Have you been baptized?

YesNo

If yes, where and when?

3. Would you have difficulty serving together with Christians of other denominations?

YesNo

4. Are you in agreement with our Statement of Faith? (You can access it here: https://jewsforjesus.org/about/statement-of-faith/

YesNo

5. How and when did you become a believer in Jesus?

Select File

INVOLVEMENT WITH JEWS FOR JESUS

1. Please list any Jews for Jesus staff workers with whom you have contact or know personally:

a.

b.

c.

d.

2. How did you hear about this short-term ministry opportunity?

3. Please tell us why you would like to serve with Jews for Jesus:

EMERGENCY CONTACT INFORMATION

Person to contact in an emergency:

Relationship:

Address (street/city/state/zip code):

Home phone:

Cell phone:

E-mail

REFERENCES

List the names of two elders in your congregation or two mature believing friends whom we can ask to fill out reference forms. Please include all of the following information:

1. Name:

Address (street/city/state/zip code):

Phone:

E-mail

2. Name:

Address (street/city/state/zip code):

Phone:

E-mail

I feel the liberty of the Holy Spirit to fill out this application and if accepted I intend to serve on the project for which I am applying. I hereby affirm all of the statements are true and understand that any knowing misstatement of the facts can bar further consideration for participation with Jews for Jesus.

Signature:

Date:

Date