Emerging Leader Application Form

Instructions

IMPORTANT: Remember data cannont be saved if you navigate away from the form. Email all required documentation to: admin@foursquarewa.org

Personal Information

Title

First Name

Middle Name

Last Name

Preferred Name

Phone Number

Mobile Number

Email Address

Date of Birth

Gender

Marital Status

Home Address

Mailing Address

Home Address

Home Address Line 2

Home City

Home State

Home Postcode

Home Country

Mailing Address

Mailing Address Line 2

Mailing City

Mailing State

Mailing Postcode

Mailing Country

Ministry & Compliance Details

Responsible Person Church Position

Church Position Held

Church Position Start Date

Church Position Finish Date

Responsible Person WA Office Position

WA Office Position Held

WA Office Position Start Date

WA Office Position Finish Date

If you serve on the Board of Directors or your Church Council / Management Team you must submit a Responsible Person Declaration form. The WA Office will send a form to you for you to complete and return for our records.

Minister's Credential

Highlight "Emerging Leader"

Credential

WWCC Number

WWCC #

WWCC Expiry Date

Please email a copy of your most recent WWCC card to the WA Office for our records

ChildSafe Training Level

ChildSafe Training Highest Level

ChildSafe Training Date of Completion

ChildSafe Training Date Completed

Please email a copy of your highest ChildSafe qualification to the WA Office for our records.

Experience and Qualifications

Experience & Expertise

Relevant experience expertise

Qualifications

Highest Ministry / Theology Qualification

Date Achieved

Academic Qualifications

Please email a copy of your qualifications to the WA Office for our records - admin@foursquarewa.org. Note: A minimum Certificate IV in Ministry (or equivalent) is required for all credendialed ministers licensed after 2017.

Your application will be reviewed by the Interview Committee, who will contact you for a personal meeting to discuss and plan your pathway.