PLURway Outreach Team Application Form Personal Information: Please attach a recent photo (REQUIRED) Name Address City.St.Zip Home Number Mobile Email Occupation D.O.B. Communication EmailFacebookPhone CallTexting Using email is required for our team. Do you use email? YesNo Social Media FacebookInstagramSnapchatOther Using facebook is required for our team. Are you on Facebook? YesNo Married: YesNo Children: YesNo Ages: Emergency Contact Information #1 Relationship Name Address City, Sate, and Zip Home Phone Mobile Phone Emergency Contact Information #2 Relationship Name Address City, Sate, and Zip Home Phone Mobile Phone In addition to the references please also attach a letter of recommendation from your Pastor (Required) Upload Now I'll send it separately References (No family members please) *Email addresses are required, let them know to expect an email or call. Reference 1 Relationship Name Address City, Sate, and Zip Home Phone Mobile Phone Email Reference 2 Relationship Name Address City, Sate, and Zip Home Phone Mobile Phone Email Reference 3 Relationship Name Address City, Sate, and Zip Home Phone Mobile Phone Email Personal & Spiritual Information (Please provide a brief statement, with dates, on the following experiences in your life.) Salvation Baptism Relationship Describe your relationship with Christ over the last year. (Victories, healings, struggles, devotions, answers to prayer, etc.) Why Outreach? Brief explanation of why you want to do outreaches to the rave kids. Other How did you hear about Engage to Go Ministries and/or PLURway? Tell us about yourself. Likes, Hobbies, anything you want to share. Do you have any medical issues that would potentially be of concern on outreaches? (asthma, diabetes, problems with walking and/or running, etc?) If yes, explain. Church & Service History What church do you currently attend? How long have you attended there? (list all churches from the past 5 years) In what, if any, ministries are you currently serving at your local church? What other areas of ministry have you served in? Accountability Are you willing to submit to a background check and pay (approximately $25) for the process? YesNo Are you willing to sign a “Hold Harmless” agreement regarding your personal safety on outreaches? YesNo Are you willing to take the Clifton Strenghfinders test, and pay for the process? (Engage to Go Ministries will cover the cost of the follow up pro-coaching session.) https://www.gallupstrengthscenter.com/home/en-us/strengthsfinder YesNo Have you ever struggled with pornography? If yes, how long ago? YesNo Are you willing to pay for and download “Covenant Eyes” on ALL your computers, phone, and devices and include a board approved accountability partner? (please visit www.covenanteyes.com for pricing and details) YesNo Have you ever used illegal drugs? YesNo If yes, how long ago? Does your spouse agree with you doing outreaches to raves? YesNo Not Married I have visited engagetogoministries.com and plurway.com, read all the content, and watched all the videos. Yes Choose your location ---So CalLas VegasHoustonAustinDallasOrlandoMiamiOther Name Date Signature 1+3 = ?
