Ministry Placement Form This fill-in form is for use with Microsoft Word. Fill out the entire form and answer all questions. The gray form fields will expand as you type. You can tab from field to field. Remember to save the form. If you feel you need to give a more complete explanation for any question, please include a separate document noting the section and number of the question. Candidate Name: Date: Position Desired (in desired): 1. 2. 3. 4. Setting Desired: (rank using a scale 1 to 3 – Most at home=1) Rural Small town Medium city Large City Suburban Inner-city Ethnic Willing to consider a bi-vocational setting Geographical area(s) desired: (indicate preference by 1st, 2nd, 3rd choice) CB Mission Northeast: Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont Next Gen Churches: Northern California, Nevada (except Clark County) CB Northwest: Alaska, Idaho, Oregon, Washington Pacific Church Network: Guam, Hawaii, Southern California, Texas Mission Mid-Atlantic: Delaware, D.C., Florida, Maryland, New Jersey, Pennsylvania, Virginia, West Virginia CB North Central: Illinois, Indiana, Iowa, Michigan, Minnesota, Nebraska, North Dakota, South Dakota, Ohio, Wisconsin Rocky Mountain Church Network: Colorado, Eastern Kansas, Montana, Northeastern Utah, Wyoming Southwest Church Connections: Arizona, New Mexico, Nevada (Clark County), Southern Utah Personal and Family Information 1. Name: Street Address:
Ministry Placement Form This fill-in form is for use with Microsoft Word. Fill out the entire form and answer all questions. The gray form fields will expand as you type. You can tab from field to field. Remember to save the form. If you feel you need to give a more complete explanation for any question, please include a separate document noting the section and number of the question. Candidate Name: Date: Position Desired (in desired): 1. 2. 3. 4. Setting Desired: (rank using a scale 1 to 3 – Most at home=1) Rural Small town Medium city Large City Suburban Inner-city Ethnic Willing to consider a bi-vocational setting Geographical area(s) desired: (indicate preference by 1st, 2nd, 3rd choice) CB Mission Northeast: Connecticut, Maine, Massachusetts, New Hampshire, New York, Rhode Island, Vermont Next Gen Churches: Northern California, Nevada (except Clark County) CB Northwest: Alaska, Idaho, Oregon, Washington Pacific Church Network: Guam, Hawaii, Southern California, Texas Mission Mid-Atlantic: Delaware, D.C., Florida, Maryland, New Jersey, Pennsylvania, Virginia, West Virginia CB North Central: Illinois, Indiana, Iowa, Michigan, Minnesota, Nebraska, North Dakota, South Dakota, Ohio, Wisconsin Rocky Mountain Church Network: Colorado, Eastern Kansas, Montana, Northeastern Utah, Wyoming Southwest Church Connections: Arizona, New Mexico, Nevada (Clark County), Southern Utah Personal and Family Information 1. Name: Street Address:
2015-CBA-Ministry-Placement-Form.docx