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Presbyterian Church in America
Youth Leader Placement Service

Christian Education & Publications offers a placement service which connects available youth leaders with churches seeking to fill youth staff positions. 

The results submitted on this form will be used only to facilitate your job search and will not be used for any other purpose.  Data submitted on this form will only be released to prospective employers.

 

Youth Leader Data Form

Note: Please submit a copy of your resume in addition to this filling out this data form. 

You may email your resume to amclean@pcanet.org (Microsoft Word documents only), or mail it to:

Allan McLean
Christian Education & Publications
1700 North Brown Road, Suite 102
Lawrenceville, GA  30043

Instructions:
[tab] from field to field and click submit when finished. 
Do not hit the [Enter] button.


FULL NAME
ADDRESS:   
CITY:      
STATE:     
ZIP CODE:  
HOME PHONE:
WORK PHONE:
EMAIL ADDR:

BIRTH DATE:


FAMILY


If divorced/remarried
(state circumstances)

SPOUSE NAME:      
SPOUSE BIRTH DATE:
DATE OF MARRIAGE: 

 

CHILDREN (LIST NAME/AGE):
Child #1:
Child #2:
Child #3:
Child #4:
Child #5:


HEALTH

ADDITIONAL COMMENTS TO EXPLAIN HEALTH CONDITIONS

 


EDUCATION

College: 
Address: 
Address:
     

Degree Earned: 
Year Graduated:

Graduate:
Address: 
Address: 

Degree Earned: 
Year Graduated:

 


EXPERIENCE

Current
Position:    
Organization:
Address:     
City:        
State:       
Zip Code:    

CURRENT SALARY: 
INSURANCE:      
OTHER ALLOWANCES:

REASON FOR LEAVING:

 


PREVIOUS EMPLOYMENT:


DATES (FROM/TO):
NAME:          
ADDRESS:       
ADDRESS:       
SPECIFIC TASK: 

REASON
FOR LEAVING:   

 

 

DATES (FROM/TO):
NAME:          
ADDRESS:       
ADDRESS:       
SPECIFIC TASK: 

REASON
FOR LEAVING:   

 

DATES (FROM/TO):
NAME:          
ADDRESS:       
ADDRESS:       
SPECIFIC TASK: 

REASON
FOR LEAVING:   


 

OTHER CONTRIBUTING EXPERIENCE TO YOUR MINISTRY:

DESCRIBE YOUR INVOLVEMENT IN YOUTH MINISTRY:

DESCRIBE YOUR CONTACT WITH NON-CHRISTIAN YOUTH:

DO YOU TEACH YOUTH SUNDAY SCHOOL?

DO YOU CONDUCT YOUTH BIBLE STUDIES?

DESCRIBE YOUR PLANNING, IMPLEMENTING, AND
CONDUCTING YOUTH ACTIVITIES:

DO YOU PRESENTLY WORK WITH A YOUTH MINISTRY TEAM?

DO YOU PRESENTLY WORK DIRECTLY WITH THE PASTOR?

HAVE YOUNG PEOPLE BECOME CHRISTIANS PRIMARILY
 DUE TO YOUR WITNESS?

HOW SOON CAN YOU RELOCATE?

GEOGRAPHICAL PREFERENCE:

ARE YOU IN AGREEMENT WITH THE SYSTEM OF DOCTRINE, DISCIPLINE,
AND GOVERNMENT OF THE PRESBYTERIAN CHURCH IN AMERICA?

OTHER GENERAL COMMENTS:


REFERENCES:
(please submit five)

    NAME (1):
     ADDRESS:
CITY, ST ZIP:
PHONE NUMBER:
RELATIONSHIP:

 

 

    NAME (2):
     ADDRESS:
CITY, ST ZIP:
PHONE NUMBER:
RELATIONSHIP:

 

    NAME (3):
     ADDRESS:
CITY, ST ZIP:
PHONE NUMBER:
RELATIONSHIP:

 

    NAME (4):
     ADDRESS:
CITY, ST ZIP:
PHONE NUMBER:
RELATIONSHIP:

 

    NAME (5): 
     ADDRESS:
CITY, ST ZIP:
PHONE NUMBER:
RELATIONSHIP:

 

 

 

 

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Presbyterian Church in America
Christian Education and Publications
1700 North Brown Road, Suite 102, Lawrenceville, GA  30043-8122
Phone:  678.825.1100  Fax: 678.825.1101   Email:  cep@pcanet.org   

Copyright © 2008  PCA Christian Education & Publications. All rights reserved.