SBTC Church Planting Pre-Application Date (fecha): By completing and returning this form, I am indicating my interest in church planting in partnership with the SBTC. I am willing to participate in all the elements of the church planting process as required by the SBTC and its partners, including a personal background check (see below). I understand that this application is not a promise or guarantee of partnership or funding. Al completar y entregar esta forma, estoy indicando mi interés en iniciar una iglesia en sociedad con la SBTC. Estoy dispuesto a participar en todos los elementos del proceso de iniciación de iglesias requeridos por la SBTC y sus socios, incluyendo un chequeo de mi trasfondo personal (vease abajo). Entiendo que esta aplicación no es un promesa ni garantía de sociedad o apoyo financiero.
Name (Nombre):
Date of Birth (Fecha de Nacimiento):
Physical Address (Domicilio): City (Ciudad):
State (Estado):
Zip (Código Postal):
Mailing Address (Dirección de envío): City (Ciudad):
State (Estado):
Home Phone (Tel de Casa):
Cell Phone (Célular):
Zip (Código Postal):
Email (Correo Electronico): Sponsor Church (Iglesia Patrocinadora):
City (Ciudad):
Describe the Location for New Church Plant (city and community) Describe el lugar para la nueva obra (ciudad y comunidad) Association and/or Network that you intend to affiliate with (Asociación o Enlace con la cual te afiliarás): 1) Are you in agreement with the Baptist Faith and Message 2000? ¿Estás de acuerdo con la declaración de La Fe y Mensaje Bautista 2000? 2) Do you engage in public or private glossolalia (speaking in tongues)? ¿Practicas el hablar en lenguas públicamente o en privado? 3) Have you consumed alcohol as a beverage in the last 12 months? ¿Haz consumido alcohol dentro de los últimos 12 meses? 4) Have you or your spouse ever been divorced? ¿Usted o su esposa se han divorciado alguna vez? If the answer is “yes” to either question #2, 3, or 4, please explain (Si contestaste si a cualquier pregunta #2, 3 o 4, por favor escríbenos una explicación en breve):
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SBTC **VOLUNTEER** BACKGROUND CHECK AUTHORIZATION FCRA NOTICE AND ACKNOWLEDGMENT IMPORTANT -- PLEASE READ CAREFULLY BEFORE SIGNING ACKNOWLEDGMENT NOTICE REGARDING BACKGROUND INVESTIGATION THE SOUTHERN BAPTISTS OF TEXAS CONVENTION (SBTC) may obtain information about you from a consumer reporting agency. Thus, you may be the subject of a “consumer report” and/or an “investigative consumer report” which may include, but is not limited to: social security number verification; criminal and civil court records; personal interviews; driving records; and/or any other public records or any other information bearing on your character, general reputation, personal characteristics and trustworthiness. These reports may be obtained at any time after receipt of your authorization and, if you are selected, throughout your affiliation with the Company. You have the right, upon written request made within a reasonable time after receipt of this notice, to request disclosure of the nature and scope of any investigative consumer report. The report will be generated by ChristianBackgroundchecks.com (1200 South Outer Road, Blue Springs, MO 64015/816-228-5255) or another outside organization. The scope of this notice and authorization is all-encompassing, however, allowing the SBTC to obtain from any outside organization all manner of consumer reports and investigative consumer reports now and, if you are selected, throughout your affiliation with the SBTC to the extent permitted by law. As a result, you should carefully consider whether to exercise your right to request disclosure of the nature and scope of any investigative consumer report.
ACKNOWLEDGMENT AND AUTHORIZATION I acknowledge receipt of the NOTICE REGARDING BACKGROUND INVESTIGATION (above) and A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT (separate document) and certify that I have read and understand both of those documents. I hereby authorize the obtaining of “consumer reports” and/or “investigative consumer reports” at any time after receipt of this authorization and, if I am selected, throughout my affiliation with the SBTC. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by ChristianBackgroundchecks.com, another outside organization acting on behalf of the Company, and/or the SBTC itself. I agree that a facsimile (“fax”) or photographic copy of this Authorization shall be as valid as the original.
Full Name Maiden Name, Previous Names, or Aliases Used: Social Security Number:
First
Middle
Last
First
Middle
Last
First
Middle
Last
First
Middle
Last
Date of Birth:
Driver’s License/ID State:
Driver’s License/ID Number:
Please provide ALL residential addresses for the past seven (7) years. Current Address:
From
Previous Address:
From/To
Previous Address:
From/To
Previous Address:
From/To
Previous Address:
From/To
Previous Address:
From/To
Previous Address:
From/To
Previous Address:
From/To
Contact Telephone Number:
SIGNATURE:
Check here if there are more addresses you have lived at in the last 7 years.
DATE:
Please answer briefly: Por favor, conteste lo siguiente en breve: How has your calling to plant been recently affirmed? ¿Cómo ha sido afirmado su llamado para plantar?
Describe several projects/ministries you have started from scratch: Describe varios proyectos/ministerios que haz comenzado de la nada:
Describe any experience and/or exposure you have had to church planting: (Describe cualquier experiencia que haz tenido en la siembra de iglesias)
What are your spiritual gifts? (Cuáles son sus dones espirituales?) How have you seen God use them in ministry? ¿Cómo haz visto a Dios usar sus dones en el ministerio?
Give examples of two people with whom you have shared the gospel during the last three months outside of a church event or setting. (Dé ejemplos de dos personas a quienes les compartiste el evangelio durante los últimos tres meses afuera de un evento de la iglesia.)
Describe the people/community you are interested in reaching: (Describe la comunidad o gente que te interesa alcanzar)
What have you done to research and understand this people/community? What kind of relationships have you already built? (¿Qué haz hecho ya para investigar demográficamente o entender la comunidad? ¿Cuáles relaciones haz desarrollado dentro de la comunidad?)
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Describe your readiness to plant. What timeline are you anticipating? (Estás listo para iniciar la obra o que te falta para alistarse?)
If you are a student or plan to continue your education while you are planting the church, please state the name of the school, degree and date you plan to finish. (Si eres un estudiante o planeas estudiar durante el tiempo que estás sembrando la nueva iglesia, por favor indique el nombre de la escuela, la carrera que estás estudiando y la fecha de terminación de los estudios.)
If you were not able to plant in partnership with the SBTC, what would you do? (Si no pudieras sembrar una iglesia con el apoyo de la SBTC, qué harías?)
Thank you for your interest in church planting in partnership with the SBTC. Once your pre-application is received and processed, you will be contacted by a church planting staff member who will give you further instructions. Please email the completed document as an attachment to
[email protected].
Or print and send the completed document to SBTC Church Planting PO Box 1988 Grapevine, TX 76099
Office Use Only Date Received ____________________ Background check ordered _________ Received ___________ Follow up interview competed on _______________ by _______________________
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