Today's Date
First name:
Last name:
Mailing Address:
Physical Address:
Phone:
Email:
Date Available:
Are you a citizen of the United States?
If no, are you authorized to work in the U.S.?
Have you ever worked for Changing Destinies in any capacity?
Position you are applying for:
What high school did you attend?
City, State:
Did you graduate?
Diploma or GED?
College/University:
Address:
Did you graduate?
Date of graduation?
Degree:
What field?
Certifications:
Additional College/University
Address
Did you graduate?
Date of graduation:
Degree:
What field?
Certifications:
Reference:
Relationship:
Email:
Phone:
Reference:
Relationship
Email:
Phone:
Reference:
Relationship:
Email:
Phone:
Current Employer:
Job Title:
Responsibilities:
Dates employed:
Contact/Supervisor:
May we contact this supervisor for a reference?
Phone:
Email:
Starting Wage:
Current Wage:
Additonial Employment:
Job Title
Date of employment:
Reason for leaving:
Contact/Supervisor:
May we contact this supervisor for a reference?
Phone:
Email:
Starting wages:
Ending Wages:
Other past job experience:
Home Church:
Small group participation:
Are you in full agreement with CDM's vision and mission statement?
Give a short testimony about your relationship with Jesus, such as what He means to you, your spiritual journey, what He's done in your life, etc.
Summarize any previous volunteer or ministry experience.
Do you have any previous experience working with survivors of trafficking, sexual assault, or abuse of any kind? If yes, please explain:
Any other information you would like for us to consider?
Submit
Employment Application