Assistant Pastor Questionnaire Section 1: Personal InformationName*Please state your full namePhone Number*Enter your phone numberEmail address*Enter your email address.Age*Please enter a number from 0 to 99.Enter your current age.Marital Status*MarriedSingleDivorced/ SeparatedDivorced but remarriedWidowerEnter your marital statusHow long have you been married?*If married, is your wife involved in ministry?*Yes, my wife is fully involved in ministryYes, my wife is partially involved in ministry and works secular job.No, my wife is not involved in ministry.N/A – I am not married.Enter status of spouse’s involvement in ministryNumber of children you have and their agesAre you a US Citizen?*YesNoHighest Level of Education*MastersBachelorsCertificate courses onlySection 2: Doctrinal BeliefsHave you taken water baptism (Believer's Baptism)*YesNoDenomination where you were baptized*Pentecostal ChurchBaptist/ Methodist ChurchOtherSpecify the denomination of the church in which you were water baptized.If other, specify name of denomination of baptismAre you filled with the Holy Spirit with the evidence of speaking in tongues?*YesNoNo, but I believe in and earnestly seek this giftAs mentioned in Acts 2:4, do you have the gift of speaking in tongues?Section 3: Ministerial CredentialsDate of Ordination* MM slash DD slash YYYY Enter date of OrdinationDenomination of Ordination*Enter the denomination of the church in which you were ordained as a PastorEducational Degrees.*List your degrees (Bachelors and above) in Theological Studies along with the name of college/ university and the date you’ve attained these degrees. Section 4: Ministerial ExperienceDo you have any experience of serving as a Pastor in USA*YesNoHow many years have you served as a Pastor in USA?*over 15 yearsover 10 years5- 9 years0-5 yearsI have never served as a Pastor in USAWhat is the name of the church you are currently serving in? What denomination does the church belong to?*Have you served as a Youth Pastor or to Young Adults/Young Couples? Please describe.*Have you been involved in Small Groups Ministry? Please describe*Have you been involved in Missions/ Evangelism Ministry? Please describe*REFERENCESPlease provide names and contact information of 3 references, (one of them should be the Pastor of the church you are currently serving in.)*Testimony – In a short paragraph please write your personal testimony. You may include your salvation experience, ministry highlights or anything you would like to shareDeclaration of Accuracy* Declaration of AccuracyDeclaration: By signing this document I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that it will result in termination of employment at any time (if hired) and I may be subject to applicable penalties under New York State laws. I understand that filling this questionnaire does not constitute an offer for employment but merely an opportunity to provide additional information to compete for the position. I have provided this information willfully and without assistance from any other person.Signature