Employment Information Form

Fill out as much information as possible
All items listed in RED are Required

* First Name:
* Last Name:
* Your email address:
Telephone:
City:
* State:
* Are you a member of the Church of Christ?::	Yes No
If you answered yes What congregation do you attend?:
* I am at least 18 years of age:	Yes No
* Are you currently employed?:	Yes No
* Do you have access to a computer?:	Yes No
* Do you have access to high speed internet?:	Yes No
* Are you willing to travel?::	Yes No
* Are you willing to make sales calls?:	Yes No
Are there any particular areas you would like to assist our ministry?:
* Do you own a cell phone?::	Yes No
Please list any special skills:
* Enter the security code shown: