Our Mission- To show the love of Jesus to those affected by AIDS by providing physical, emotional, and spiritual support.  

 Download Application || Download Reference Form
   
 

Staff Application Form for New Jerusalem Missions:

Please complete all questions on the application form.  Husbands and wives should complete separate applications.  The application will be considered when all items listed below are returned to New Jerusalem Missions.

    1. Fill the online application out completely and submit

    2. Print two reference forms to be mailed in ( friend, Pastor, or Elder.)

    3. Send a recent photo with application through e-mail, or postal service

 

General Information:    
First name:
 		Last name:
 		Middle name:
 		Preferred name:
       
Street address:
City:
State:
Zip Code:
     
Country:
     
       
Home phone:
 		Work:
 		Cell:
 		 
       
E-mail:
 		   
       
Date of birth:
Age:
Sex:
   
       
Marital Status:
    
       
Please choose:
 		Date: (other than single)
 
       
Spouses full name:
 		Date of dirth:
       
Number of children accompanying you:
Ages:
 0-2 3-5 6-10 11-13 14-16 17-18
   
Emergency Contact:
    
       
Full name:
 		Relationship to you:
       
Address:
 		   
       
Home Phone:
 		Work:
 		Cell:
 		 
       
YWAM Experience:    
       
Are you currently on staff at another YWAM base:
Yes:       No: 		If yes, where:
 How long have you been on staff?
       
Have you completed a DTS or CDTS?
Yes:      No: 		If yes, where:    
       
Skills & Job Experience:      
           
Please check all that apply          
           
Accounting   Bus Driving (w/ license)  
Computers   Construction  
Cooking   Filing  
Gardening/Landscaping   Graphic Arts  
Handyman/General Repair   Hospitality  
Meal Planning   House Painting  
Plumbing   Receptionist  
Sewing   Typing  
Fence Building   Pastoral Care  
Electrical   Fund Raising  
Legal   Business Management  
Social Services   Social Work  
Certified Nurses Aid   Nursing  
Health Care   Heating/Cooling  
Interior Design   Re-upholstering  
Engineering   Pharmacy  
Other Other
           
Reference:      
         
Full name:    
       
Address:
 		   
       
Home phone:
 		Work:
 		Cell
  
       
Full name:    
       
Address:
 		   
       
Home phone:
Work:
Cell
         
  

New Jerusalem Missions  209 E. Broadway  Newton, KS  67114 USA  Phone: 316-282-2101 or 316-283-7711

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