the ark montebello
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Pancho Juarez, Lead Pastor
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Arkietechs: Audio, Video & Tech Ministry
Barnabas Ministry
Children's Ministry
Connect: 26-35 Career Age
Harmony Homeschool Support Group
Marriage Ministry
FMO: Men's Ministry
Rooted: 18-25 Young Adults
Women
Youth Ministry
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GET INVOLVED @ THE ARK!
Fill out this form completely to begin the process! We'll get back to you ASAP!
PERSONAL INFORMATION
First Name
Last Name
Date of Birth
How long have you been attending The Ark Montebello?
Address
City
State
Zip/Postal Code
Phone Number
Email Address
Employer
Occupation
Marital Status
Single
Married
Separated
Divorced
Widowed
What ministry would you like to be involved in?
ArkieTechs (Audio/Video/Visuals)
Cafe
Campus Safety
Chapel Store
Children
Gardening
Housekeeping
Info Center
Jr High/High School
New Believers
Prayer Team
Parking
Shuttle Bus
Street Witnessing
Ushers & Greeters
Wedding Ministry
Worship
Other
Are you free of illegal substance abuse?
Yes
No
Have you ever been arrested or convicted of a criminal offense?
Yes
No
**If you answered YES, please explain...
Do you presently have any medical/physical condition(s) that may affect your ability to serve?
Yes
No
Have you ever been arrested or convicted for the sales of drugs?
Yes
No
Have you ever been hospitalized or treated for alcohol or substance abuse?
Yes
No
Have you ever been arrested or convicted of child molestation?
Yes
No
Have you ever been hospitalized for mental illness?
Yes
No
Has your Driver License ever been suspended or revoked?
Yes
No
Other than the above instances, is there any fact or circumstance involving you or your background that would call into question your being entrusted with the supervision, guidance or care of children?
Yes
No
May we obtain a Department of Justice California Background Check on you?
Yes
No
YOUR CHRISTIAN WALK
How long have you been a Christian?
Where did you fellowship before?
City
What ministries were you involved in?
Who were your overseers?
Please state why you left that fellowship
Why are you interested in serving at The Ark?
Do you disagree with any of the teachings of The Ark Montebello
Yes
No
If you answered YES, please state which teachings and why...
YOUR BELIEFS
PERSONAL/CHARACTER REFERENCES (Please provide two persons not related to you that you have known 1 year or more)
The significance of Water Baptism:
Baptism of the Holy Spirit?
Reason for trials and sickness (are all healed?)
Is Jesus God? Why is this important?
Rapture of the church, when will it take place?
How is someone saved and how can we be sure we are saved?
PERSONAL/CHARACTER REFERENCES (Please provide two persons not related to you that you have known 1 year or more)
Name
Address
Phone
Email
Relation
Years Known
Name
Address
Phone
Email
Relation
Years Known
Affirmation of information provided
I understand that the information provided may be verified by contacting persons/organizations named in this application and hereby release and agree to hold harmless from liability any person or organization that provide information concerning me to The Ark Montebello. I affirm that the information provided is true and accurate.
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