Youth Ministry Director Application

Todays Date:

Applicant Information

Name

Date of Birth

Phone

Address

City/Town

State/Province

ZIP/Postal Code

I have attended Unity for:

Partner's Name (if applicable)

Do you have children?

Yes

Children's First and Last Names

Children's Birthdays

References (Name, phone, email):

Reference 1:

Reference 2:

Reference 3:

Briefly describe your background & why you would like to work with the Youth of Unity:

The information contained in this application is correct to the best of my knowledge and I authorize the release of any and all information from any organization and or individual. I authorize the release to Unity of Auburn of any records held by any governmental or law enforcement agency.

Signature

Thank you.