DBSM Application for New Adult Leaders

Questions about leading?

Contact our staff!

Justin Fortune / jfortune@dentonbible.org

Peter Rios / prios@dentonbible.org

Miranda Rhame / mrhame@dentonbible.org

Lauren Christner / lchristner@dentonbible.org

*Address Line 1
Address Line 2
*City
*State/Province/Region
*Zip/Postal Code
This application is to be completed by all those desiring a ministry position involving the supervision or custody of minors. It is being used to help the church provide a safe and secure environment for those teens who participate in our programs and use our facilities. All information given will be kept in strict confidence:
*Gender:
*Birthday:
*Age:
What school do you attend, if applicable?:
Where do you work (if applicable)?:
*How long have you been attending DBC?:
*Which services do you regularly attend at Denton Bible Church?:
*How long have you been attending DBSM services?:
*Are you currently involved in a DBC Small Group or DBC College Ministry Life Group?:
*If yes, please tell us which group, how long you've been apart of this group, and who the leaders are. If not, tell us why:
*Were you a committed member of your small group last year?:
If no, please explain why not:
*Is someone currently mentoring you?:
If yes, please tell us who your mentor is, how long you have been meeting with him or her, and what their phone number is:
*Do you currently serve in any other ministry at Denton Bible?:
If yes, which ministry:
*What are a few reasons why you want to become a DBSM Leader?:
What volunteer or leadership experience have you had with students?:
List any gifts, training, talents, or other factors that have prepared you to work with teenagers::
*What are two areas of spiritual strength in your life?:
*What are two areas of spiritual weaknesses in your life?:
What other sin(s) are you currently struggling with?:
*Please give us a brief testimony of your salvation:
*Have you received the believer's baptism?:
*If yes, let us know how old you were, where you where baptized, and who baptized you. If you have not, let us know why not:
Scheduling
*Are you involved in any hobbies, anything outside of school or work, etc.?:
If so, please list below (including hours per week)::
*Do you currently have a job/are you going to be working this next year?:
If yes, what is the name of the company you work for?:
If yes, what is your position?:
If yes, what are your weekly hours?:
*Please write out your schedule for this past semester (Spring 2020): Be as detailed as possible:
Please write out your expected schedule for next semester (Fall 2020): Be as detailed as possible:
Confidential
The questions listed below are part of our application process in order to help provide a safe and secure environment for you and our students. All information is held in strict confidence by the church staff. Answering "yes" to any of the questions below may not necessarily preclude you from involvement in Student Ministries. Thank you for your honesty and cooperation. 
*Have you ever struggled with anxiety, depression, or suicidal thoughts?:
If so, to what extent?:
*Have you ever struggled with any sort of eating disorder?:
If you have, to what extent?:
*Have you ever been a victim of physical, sexual, or verbal abuse?:
*Have you ever had a relationship which would NOT be considered "above reproach" (sexual intercourse, inappropriate touching, or kissing)?:
*Are you currently in a dating relationship?:
*I understand that we are teaching students to remain pure sexually until marriage. Because I understand that my lifestyle is an example to the youth I work with, I see the importance of being sexually pure myself. I affirm that this lifestyle is true of me at this time and will be true of me.
*I agree to let the church know if that situation changes and to step down from my responsibilities at DBSM until those issues are resolved.
*Have you ever participated in underage drinking?:
*Have you ever used or sold drugs?:
*Have you ever been accused, arrested, or convicted for any criminal offenses?:
*Have you ever committed physical, sexual, or verbal abuse?:
*Have you ever consumed excessive amounts of alcohol or abused alcohol in any way?:
If yes to consuming excessive amounts of alcohol or abusing alcohol, to what extent?:
*Have you ever struggled with same sex attraction?:
If yes, do you currently struggle with same sex attraction?:
*Have you ever struggled with pornography?:
If you have struggled with pornography, do you currently?:
If yes to same sex attraction/pornography, what steps have you taken to change this involvement/habit?:
If yes to same sex attraction/ pornography, what accountability have you set up for yourself in this area?:
*Are there any circumstances in your lifestyle or past that would in any way hinder you from your ability to work with students? If so, please explain
Personal References
Personal References must be at least 18 years old and not a family member. Please list at least two people who have known you longer than one year
Reference #1
*Reference #1 Name:
*Reference #1 Relationship to you:
*Reference #1 Phone Number:
*Reference #1 Emaill Address:
Reference #2
*Reference #2 Name:
*Reference #2 Relationship to you:
*Reference #2 Phone Number:
*Reference #2 Email Address:
Certification of responses:
*The information contained in this application is correct to the best of my knowledge. I authorize my references, churches, or other organizations listed in this application to give you any information they may have regarding my character and fitness for working with you. Should my application be accepted, I have read and agreed with the DBC doctrinal statement and the policies of the church and its student ministries. I understand that the personal information will be held in strict confidence by the church staff. (To confirm, please type your full name below)
*Today's Date:
*To certify the above statement, please type out your full name.:
*Upload a selfie so we know who you are :):

:)