Application for ARC Community Members

A. PERSONAL INFORMATION

 

1. Name____________________________________________________
2. Date of Birth _________________   

3. Telephone (w) ________________  (h) _________________________

4. Gender ___________________                             

5. Social Security Number _____________________  

6. Single ____  Partnered____

7. Present Address ___________________________________________
                               Street Address
                                       ___________________________________________________________
City                                                State                                        Zip

8. Permanent Address (if different)                 ___________________________________________________________
       Street Address
                                          ___________________________________________________________
City                                                 State                                        Zip

 

 

9. Health: Describe any physical, psychological, or dietary conditions which could affect your work or stay at ARC.

 

 

10. Personal Obligations: Describe any financial, family, and personal obligations you would need to continue to fulfill while a member of the ARC Community.

 

 

B. BACKGROUND
1. Employment Experiences
A. Current Employer: ________________________

Contact Person: _______________________
Address: ________________________________

Phone Number: ________________
Your Position: _________________ Responsibilities:____________________________
Dates of employment: _______________________
(circle one)    Full Time    Part Time
Reasons for leaving: _____________________________________________________

B. Previous Employer: ________________________

Contact Person: _______________________
Address: ________________________________
Phone Number: ________________
Your Position: _________________ Responsibilities:____________________________
Dates of employment: _______________________
(circle one)    Full Time    Part Time
Reasons for leaving: _____________________________________________________

Employer: ________________________
Contact Person: _______________________
Address: ________________________________
Phone Number: ________________
Your Position: _________________ Responsibilities:____________________________
Dates of employment: _______________________
(circle one)    Full Time    Part Time
Reasons for leaving: _____________________________________________________

2. Volunteer Experiences

Agency/Organization: ______________________

Phone Number: _________________
Address: _______________________________

Contact Person: ________________
Your Position: _________________

Responsibilities: ___________________________

3. Other interests and involvements (social ministry, justice concerns, etc.).

 

 

4. Educational Experiences

a. Schools Attended

Major Subjects & Degrees Earned

Dates (Years)

________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________

 

b. Travel Experiences 

 

Dates (Years)

________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
 

c. Other Life Experiences

 

Dates (Years)

________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________

 

C. REFERENCES Please ask 3 people (including one recent/current employer) to complete the reference form. Please have them send the completed forms directly to ARC.
Names of References
1.
2.
3.

 

D. ESSAY On a separate sheet of paper please respond to the following questions either separately or in essay form. 1. Describe any skills, talents, hobbies, or gifts you have which you could utilize in the ARC community and retreat ministry (they may be specific or general, e.g. organizational or administrative skills, creativity, cooking,...).

2. Describe what you consider to be your strengths and your weaknesses.

3. Describe your understanding of community living/working and refer to any previous experiences you have had in these areas.

4. Describe your understanding of retreat ministry and refer to any previous experiences you have had in this area.

5. Describe an experience, concept, relationship, or something you have read which has been particularly valuable/meaningful to you. Why?

6. Why are you interested in living/working at ARC?

7. Write a statement of your faith journey.

8. What are your hopes/expectations for personal growth during your time at ARC?

9. Please comment on the ARC Mission Statement (i.e. What do you like?, What challenges you?, etc.).

 

 

 

 

 

ARC RETREAT COMMUNITY
1680 - 373rd Ave. NE
Stanchfield, MN 55080
(763) 689-3540