Fit Assessment Application

Date(Required)

Contact Information

Name(Required)

First Middle Last

Street/Mailing Address:(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Phone (will be listed on roster):(Required)

Home

Work

Cell

Phone 2:

Home

Work

Cell

Email Address:(Required)

Spouses Email Address:

Name as you would like it on a name tag:(Required)

Spouses name as you would like it on a name tag:

Personal/Family Information

Candidate's Date of Birth:(Required)

Candidate's Place of Birth:(Required)

Present Church Name and Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Marital Status:(Required)

Date of Marriage:

Spouse’s Name:

Date of Birth:

Have you ever been divorced?(Required)

Yes

No

If Yes, date of divorce?

Has your spouse ever been divorced?

Yes

No

If Yes, date of spouses divorce?

Children

Child's Name:

Relationship (i.e. son, daughter, stepson, etc)

Date of Birth

Dependent

Health

Child's Name:

Relationship (i.e. son, daughter, stepson, etc)

Date of Birth

Dependent

Yes

No

Health

Child's Name:

Relationship (i.e. son, daughter, stepson, etc)

Date of Birth

Dependent

Yes

No

Health

Child's Name:

Relationship (i.e. son, daughter, stepson, etc)

Date of Birth

Dependent

Yes

No

Health

Child's Name:

Relationship (i.e. son, daughter, stepson, etc)

Date of Birth

Dependent

Yes

No

Health

Child's Name:

Relationship

Date of Birth

Dependent

Yes

No

Health

Are you expecting a child?(Required)

Yes

No

If yes, expected date of birth?

Your health:

Your spouse's health:

Briefly describe the nature of any family member's health which was selected as fair or poor.

Your racial and ethnic origin:

Your spouse's racial and ethnic origin:

Are you bilingual?(Required)

Yes

No

If yes, which Language (s)?

Is your spouse bilingual?

Yes

No

If yes, which Language (s) does spouse speak?

Current Salary and Benefits:

Present Cash Salary (including housing allowance):(Required)

$ Amount per year

Benefits (health, Social Security, utilities):(Required)

$ Amount per year

Other Income/Benefits (specify):(Required)

$ Amount per year

Do these salary and benefits meet your needs?(Required)

Yes

No

Comments:

Education

Your Education and Credentials (High School and Beyond)

Name of School

Location of School

Date Graduated

Degree Received

Name of School

Location of School

Date Graduated

Degree Received

Name of School

Location of School

Date Graduated

Degree Received

Spouse's Education

Spouse’s Education and Credentials (High School and Beyond)

Name of School

Location of School

Date Graduated

Degree Received

Name of School

Location of School

Date Graduated

Degree Received

Name of School

Location of School

Date Graduated

Degree Received

Work Experience

Please begin with your most recent employment and briefly list any further information in the space below. Do not include church experience here.

Company:(Required)

City/State/Region:(Required)

Job Title:(Required)

Date From:(Required)

Date To:(Required)

Responsibilities:(Required)

Company:(Required)

City/State/Region:(Required)

Job Title:(Required)

Date From:(Required)

Date To:(Required)

Responsibilities:(Required)

Company:

City/State/Region:

Job Title:

Date From:

Date To:

Responsibilities:

Other Work Experience:

Spouse's Work Experience

Please begin with your most recent employment and briefly list any further information in the space below. (Include church experience)

Company Name:

City/State/Region

Job Title:

Date From:

Date To:

Responsibilities:

Company Name:

Job Title:

Date From:

Date To:

Responsibilities:

Job Title:

Date From:

Date To:

Responsibilities:

Other Work Experience:

Personal Christian Experience

Please complete the questions below in one to three paragraphs.

What are your personal devotional/prayer/Bible study habits?(Required)

Who are the people that have been most influential in your life and spiritual growth?(Required)

What was the last significant truth God taught you?(Required)

What are your top three spiritual gifts?(Required)

Lifestyle (Hobbies and Interests)

Please complete the questions below in a paragraph or less.

What hobbies and special interests do you most enjoy?(Required)

What kinds of things does your family enjoy doing together?

Are you involved in a regular program of exercise?

References

Part of the discovery/Fit Assessment process is hearing from people who personally know the candidate or have experience working with them. Please provide six references. It is your responsibility to notify these references that they will be contacted via email and to ensure that they provide their responses to the Discovery Center Registrar in a timely manner. All referenced must have email addresses.

Reference Name(Required)

First Last

Email(Required)

Reference Name(Required)

First Last

Email(Required)

Reference Name(Required)

First Last

Email(Required)

Reference Name

First Last

Email

Reference Name

First Last

Email

Reference Name

First Last

Email

Reference Name

First Last

Email

Four End Goals

The NAB has four end goals that we focus on, believing we as the greater NAB community can do these four things better together than apart. The four end goals are: 1) The NAB will be trained for missional ministries that flow out of being spiritually formed by who God is and who we are in God. 2) The NAB will connect with ethnic partnerships and seek to live out a God-directed racial righteousness. 3) The NAB will seek to identify and develop emerging leaders and to equip spiritual leaders. 4) The NAB will send international missionaries. (http://nabconference.org/identity-the-end-goals). All four of these ends flow from a deep commitment to our missional/formational movement. All our planters are encouraged to affirm our three church planting distinctives, as well as our NAB Statement of Beliefs.

I affirm our three NAB church planting distinctives of preaching a robust gospel (http://nabconference.org/resources/church-planting), commitment to our missional/formational movement (http://nabconference.org/kingdom-collaboration-for-gospel-expansion), and commitment to becoming a church-planting church (http://nabconference.org/wp-content/uploads/2018/10/Maintanence-to-Multiplication.pdf).(Required)

Yes, I affirm

No, I don't affirm

I affirm the NAB’s Statement of Belief.(Required)

Yes, I affirm

No, I don't affirm

NAB Statement of Belief: http://nabconference.org/us/#our_beliefs

Photo: Please upload a recent family photo (a cell phone selfie is fine) we can use as part of the application.

Max. file size: 512 MB.

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