Counseling Team - Impact Family Christian Counseling

Name *

Gender *

Male

Female

Date of Birth *

Email Address *

Phone Number *

Address *

What ministries interest you? *

What is your vision for the ministry you are applying for *

What type of experience do you have concerning the ministry applying for? *

When can you start? *

When, Why, Where and How did you come into a relationship with Jesus Christ or trust in Him as your Savior and Lord *

Did you read what Impact Family is about: https://impact.vision/about/learn-more *

Are you a part of a church family? *

Do you give us permission to conduct a background check? *

Name of your church *

Name of a leader we can contact *

Email of the leader *

Phone number of the leader *

Personal Reference Name *

A personal reference is someone who you have not worked with but can describe your values, integrity, character and goals. You can select personal references from many parts of your life, including volunteering, school, personal associations and longtime friendships. You should avoid listing family members or your spouse as personal references, as they might be perceived as biased. You want to choose personal references who have known you at least one year, think positively of you, are able to communicate well and are available on short notice.

Personal Reference Phone *

Personal Reference Email *

Professional Reference Name *

A professional reference is someone who has worked closely with you for at least six months within the past seven years. They are usually a coworker or immediate supervisor, but can also be a department head, higher-level manager or client if they interacted with you regularly. You should choose professional references who can speak directly about your daily work habits, performance, work ethic and professional goals so that the employer can get a clear idea of who you are in the workplace and how you contributed to the work environment.

Professional Reference Phone *

Professional Reference Email *

What is your career or area of study? *

What is your personal life dream? *

What is your two greatest weaknesses when it comes to people? *

What is your two greatest weaknesses when it comes to projects? *

What is your two greatest strengths when it comes to people? *

What is your two greatest strengths when it comes to projects? *

Optional: Upload Your Resume or CV

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Agreement

I understand that I am operating as an Independent Contractor, Chaplain, Counselor, Therapist, or Minister and am responsible for coordinating my schedule, manner of work, or taxes. Impact Family payments are suggested contributions and will transfer to Independent Contractor's State, or Federal registered Nonprofit as such. I am fully responsible for my safety and medical needs as an Independent Worker. I agree with the non-disclosure and privacy policies of clergy and counseling practitioner unless clients threaten to do harm to themselves or others. I agree with the non-solicitation standard of not redirecting clients to my private organization or website when the client was secured or generated by Impact Family Inc marketing or referral efforts. All clients will continue to make payments through the regular website channels of Impact Family Inc., and any website Impact Family Inc. has created on my behalf of contractors and clients. I agree to comply with all company policies and procedures and that my partnership is "at-will" and be terminated by Independent Contractor or Impact Family Executive Director or Board at will.

Agreement Consent *

Signature *

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Counseling Team Application

Counseling Application