Employment Application – Verity Centre

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Employment Application

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Name *

First

Last

Date of birth *

Age

Phone

Email *

Gender *

Physical address of residence *

Address Line 1

City

State / Province / Region

Postal Code

Country

Current Citizenship

Marital status

Home language

Other languages

How many dependents do you have?

Do you have health insurance?

Yes
No

Do you have your own transport?

Yes
No

Have you ever been dismissed from any educational institution?

Yes
No

Education

Name of final High School

Year graduated from High School

Education after High School

Current employment *

Share some details of your current employment

Any other relevant work experience

Medical missionary training

Medical missionary experience

Evangelism training

Evangelism experience

Have you worked with an SDA ministry in the past? *

Yes
No

Are you currently working with an SDA ministry? *

Yes
No

Please share any relevant details of your medical missionary and/or evangelism experience

Spiritual Life

How was your life before you decided to follow Christ?

How did you come to know Jesus, and how has your relationship with Christ deepened during the past year?

Have you been a member of any other church denomination. If yes, why did you leave?

Are you a baptized member of the SDA church? *

Yes
No

Date of baptism

Name of congregation where you were baptized

Have you studied the fundamental beliefs? *

Yes
No
Yes, but I need to revise them

Are you in agreement with ALL of them?

Yes
No
Yes, but I need to revise them

State the name of the church where you are currently attending

Have you ever left the SDA church? If so, please explain.

Do you attend church regularly? *

Yes
No

How would you describe your knowledge of the Bible? *

Church Positions currently held and previously held.

What talents and abilities do you already have that you could bring to Clash of Minds School and our ministry outreach?

What would you say are some of the biggest challenges/issues facing teenagers and young adults of this generation?

What would you say are some of the biggest challenges/issues facing adults of this generation?

What are your top 3-5 goals in life right now?

Has Clash of Minds played a role in your Christian experience?

Full Name of Pastor or Elder

Phone (Pastor)

Email (Pastor)

Knowledge of EGW Writings

Please indicate which of the following books you have read (more than 50%)

Ministry of Healing
Counsels on Diet and Food
Medical Ministry
Great Controversy
Evangelism
Last Day Events
Desire of Ages

Can you list some other EGW books you have read completely or worked through more than 50% of the book

Which of these books have you read longer than 5 years ago?

If you have not yet studied the above book list, are you prepared to set aside time to study them before we book your interview?

Yes
No
I really don't have time to study them

How would you describe your devotional life?

Share your opinion on how the medical missionary work ties in with the 3 Angels Message

Can you elaborate on what you think the connection is between the health message and the missionary work? What is your view on the necessity of missionaries practicing the heath message in their own lives?

Is your spouse a health reformer?

Yes
No

Please describe details of the family dynamics where you live, with relation to your convictions about the health message, if applicable.

In which way does your spouse and his/her opinions about the health message, force you to compromise your own convictions in order to accommodate their beliefs on health?

Work Application

Which position at Verity Centre would you be most interested to work in? *

Please indicate your preferred position, and explain your reasons.

Are you hoping to do full-time or part-time work? *

Are you willing to do shift-work? *

Which time-period do you want to spend at Verity? *

Do you have any pets? *

How many members in your household?

Selected Value: 1

Additional Info

Please share a bit about yourself in the following sections:

Hobbies for free time

Do you have talents and abilities outside of work skills?

Please list some of your favourite authors, and why do you like to read their material?

List some of your favourite musicians, and some of your favourite songs.

What is your favourite genre of movies or series?

Do you have or have you had any significant physical conditions or special limitations (climate, diet, exercise, stamina, eating disorder, depression, prescription medication)?

Mental Health

Please indicate if you have ever suffered from symptoms related to any of the following

Anxiety
Depression
Eating disorders
Bipolar mood disorder
Schizophrenia
Other psychotic disorders
Abusive or other personality disorders
Severe psychological trauma

Please indicate if there are any of the above from which you still suffer, and share a detailed description with us - it is important for us to understand your current struggles.

Are there any other health concerns you feel important to mention? Please share details.

Have you ever been diagnosed with any of these disorders by a doctor or psychologist?

Do you suffer from any of these problems currently?

Have you used any alcohol/drugs/cigarettes during the past year?

If you have quit, please state what and when, and why you decided to stop.

Personal Background & History

Have you ever been arrested for any offense (if yes, please indicate the outcome of the arrest)

Do you have any pending charges or any pending legal cases to your name. Please include any court cases currently unsettled, domestic or otherwise.

Have you been part of any gang, and if so, please share with us when you were able to exit this scene. Please share any current ties to a gang group.

Have you ever been accused of any abusive behaviour? Please explain the context and what your opinion is about this accusation.

Are there any other points that you would like to share with us, that has not been documented on this form yet? Please use this space to share other thoughts and questions you may have for us.

References

Please complete the following references (i.e. people we could get in touch with to get to know you better):

Reference 1

Full name, Phone number, Email address

Reference 2

Full name, Phone number, Email address

Reference 3

Full name, Phone number, Email address

Upload Your CV and Cover Letter *

Click or drag files to this area to upload. You can upload up to 2 files.

Please ensure your files do not exceed 30MB

Do you have any health known problems? *

Yes
No

Would you be willing to complete a health assessment form? *

Yes
No

Notice

Please take note that there are two parts to this application. We will forward a Health Assessment form to you that is used to assess all guests. We would like you to complete this form in preparation for understanding its use in our work here as a Verity Staff member.

RETHINK YOUR HEALTH

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