TXCCDN – EXECUTIVE DIRECTOR

APPLICANT INFORMATION

Last Name First M.I. DOB

Street Address Apartment/Unit #

City State ZIP

Phone E-mail Address

Please list 3 references: at least one from an employer Name: Phone ( ) - Email: relationship: Name: Phone ( ) Email: relationship: Name: Phone ( ) Email: relationship: EDUCATION

High School

College Major Graduation date Type of Other study

PLEASE DESCRIBE WHAT CHRISTIAN COMMUNITY DEVELOPMENT MEANS TO YOU:

WHAT EXPERIENCES HAVE YOU HAD PERSONALLY WITH CHRISTIAN COMMUNITY DEVELOPMENT?

PLEASE DESCRIBE YOUR LEADERSHIP EXPERIENCE:

PLEASE DESCRIBE YOUR COMFORT LEVEL WITH COMMUNICATION TECHNOLOGY AND WHAT YOU USE ON A DAILY BASIS:

PLEASE DESCRIBE YOUR EXPERIENCE LEADING VOLUNTEERS:

PLEASE DESCRIBE HOW YOU HAVE IMPLEMENTED ORGANIZATIONAL CHANGE OR GROWTH IN THE PAST:

PLEASE DESCRIBE TO US YOUR PAST FUNDRAISING EXPERIENCE:

PLEASE GIVE YOUR 3-YEAR GROWTH PLAN FOR TXCCDN, INCLUDE A FUNDING MODEL: If you have other comments, please write them here.

DISCLAIMER AND SIGNATURE I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature Date