Pro-Staff Application
Christian Adventure Network
Legal Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Best Time to Call
*
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
T-Shirt Size
*
Please Select
Small
Medium
Large
XL
2X
3X
Place of Employment
*
Length of Employment
Marital Status
*
Spouse's Name
Serving Together?
How Often Would You Like To Serve
Part-Time
Whenever You Need Me
Full Time
Briefly Describe Your Relationship With Jesus Christ
*
How long have you been a believer?
*
List Any Leadership/Volunteer Experience You Have Had:
*
List Any Training, Education or Spiritual Gifts That Have Shaped You To Serve In The Church
*
List any 10 CAN events you've attended:
*
Have You Ever Been Accused, Charged With, or Alleged to Have Committed Any Act of Neglect, Abuse, or Molestation Against A Minor? If Yes, Explain in Detail, Providing Date and Place of Incident:
*
Local Personal References (Must Be 18 Years Old and Not Related to You)
Reference Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Reference Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Notes/Remarks
I hereby authorize 10 CAN, Inc. to verify all information contained in this application with any references, my past or present employers, any other appropriate personnel at my past or present employment, churches or other organizations, and any individuals. I authorize those who are contacted to disclose any and all information to 10 CAN, Inc. I release all such persons or entities from liability that may result or arise from 10 CAN's collections of all such evaluations or information for its consideration of my application. Should my application be accepted, I agree to follow the policies of 10 CAN and to refrain from unscriptural conduct in the performance of my services on behalf of the church. I understand that this personal information will be held confidential by the 10 CAN team.
*
I agree with the statement above
I disagree with the statement above
I am the parent/legal guardian of the applicant and I agree with the statement above
I am the parent/legal guardian of the applicant and I disagree with the statement above
Send
Should be Empty: