7690 Fielder Rd

Jonesboro GA 30236

770-471-1021

Church Phone

dixongrovebap589@bellsouth.net

Church Email

Pastor Search Application

Please complete every section. Fields marked * are required. Before you begin, have ready: your résumé, a copy of your license, your ordination certificate (if applicable), links to two sermon videos from the last 2 years, and contact information for six references.

Deadline: October 31, 2026

Personal Information

Street, city, state, ZIP

If hired, can you present proof of your legal right to live and work in this country?

Family

List any children below (optional).

Marital status

Ordination & Baptism

Are you ordained?
Have you been baptized by immersion?
If you have not been baptized by immersion, would you consider being baptized by immersion?

Financial & Criminal History

Have you ever filed for bankruptcy?
Have you ever been convicted of a felony?

Educational Background

Start with high school, then list colleges, seminaries, or other schools attended.

Please list courses attempted and whether or not completed; P/T or F/T; dates; institutions and awards received.

Background Questions

If you answer “Yes” to any of the questions in this section, please explain below, indicating the nature of the suit, offense, date, court, and disposition or other appropriate explanation. A conviction record will not automatically be a bar to employment. Factors such as your age at the time of the crime, seriousness and nature of the violation, time elapsed since the crime, job relatedness, and subsequent rehabilitation will be considered.

Are you presently being investigated or under a procedure to consider your discharge for misconduct by your present employer?
Has any employer ever subjected you to disciplinary action, suspended, terminated, or asked you to leave a job or volunteer position on the grounds of any unlawful sexual behavior, or violation of an employer’s sexual misconduct or harassment policy?
Have you ever been charged in civil or criminal proceedings with improprieties regarding children?
Have you ever entered a plea of guilty, a plea of “no contest” (nolo contendere), or has any court ever deferred further proceedings without entering a finding of guilty and placed you on probation or in a public service or education program for any crime other than a minor traffic offense?
Have you ever been suspended, discharged, or resigned in lieu of discharge from any position?

PDF, DOC, DOCX, JPG, JPEG, PNG · up to 10.0 MB

Work Experience

Please list your work and/or ministry experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name.

e.g., 03/2019 – present

May we contact this employer for a reference?

If this is your current position, write “Current.”

e.g., 03/2019 – present

May we contact this employer for a reference? (optional)

If this is your current position, write “Current.”

e.g., 03/2019 – present

May we contact this employer for a reference? (optional)

If this is your current position, write “Current.”

e.g., 03/2019 – present

May we contact this employer for a reference? (optional)

If this is your current position, write “Current.”

e.g., 03/2019 – present

May we contact this employer for a reference? (optional)

If this is your current position, write “Current.”

Leadership Roles

Leadership of a church involves several roles.

Church leadership responsibilities — check each area in which you have experience (optional)

Sermon Videos

Please provide links to two recent sermons preached within the last 2 years (YouTube, Facebook, Vimeo, Google Drive, church website, etc.). If your video is a file on your phone or computer, upload it to YouTube (as “Unlisted”) or Google Drive (shared as “Anyone with the link”) and paste the link here.

Résumé & Supporting Documents

Accepted formats: PDF, Word (.doc, .docx), JPG, PNG. A photo of a certificate taken with your phone is fine.

PDF, DOC, DOCX · up to 10.0 MB

PDF, DOC, DOCX, JPG, JPEG, PNG · up to 10.0 MB

PDF, DOC, DOCX, JPG, JPEG, PNG · up to 10.0 MB

PDF, DOC, DOCX, JPG, JPEG, PNG · up to 10.0 MB each

Letters of recommendation, transcripts, etc. Up to 5 files.

Professional References

Do not list family members or relatives for references.

Spiritual references

Give three references who are qualified to speak of your spiritual experience and Christian service.

List your current pastor first.

Professional references

Give three references who are qualified to speak of your professional training and experience.

List your current or most recent supervisor first.

Agreement

Please read carefully before signing.

Typing your name serves as your electronic signature. Today’s date is recorded automatically.

All inquiries and submissions are handled with strict confidentiality. Your application and documents are stored privately and are shared only with the Pastoral Search Committee.