Phone number *
Phone type Mobile Home Work Other
Mobile Carrier
If you would like to receive text reminders
Gender *
Select… Male Female
Marital status *
Select… Single Married Widowed
When did you start attending NorthEast? *
Approximate date (EX: January 2019)
Please list your previous church affiliations, including length of time attending:
Please list any special gifts, talents, interests, training, certifications, or experiences you hope to use while serving at NorthEast:
Have you committed to trust and follow Jesus as your personal Lord and Savior? *
Have you been baptized by immerson? *
If yes, please provide the approximate date. In order to discipleship our kids, baptism by immersion is required by all Lead Teachers beginning with our Kindergarten classes.
Tell us about your relationship with Jesus: *
Have you ever been convicted, accused of, or have you ever committed any act of physical abuse, sexual abuse, neglect, molestation, or exploitation? *
Have you or anyone else ever been concerned that you may struggle with alcohol, pornography, or other harmful habits or sin in your life? *
Have you ever struggled with any mental health issues that you feel would impact you while volunteering? *
Is there anything else you want us to know?
What ministry area are you wanting to serve? *
Please choose one.
I agree and am willing to abide by NorthEast Christian Church’s Beliefs while serving in any ministry at the Church. NorthEast's Beliefs can be found at https://ncclex.org/whoweare.
• I verify that the information contained in this application is true and correct to the best of my knowledge. I give permission, if necessary, for you to contact any references (including Church leadership). I authorize the release of the information contained in this application to any ministry at NorthEast in which I seek a position. I waive any right that I may have to inspect any information provided about me by any person or organization identified by me in this application.
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