DUKE STREET CHURCH MINISTRY TRAINEE SCHEME
APPLICATION FORM
For volunteers seeking experience and training in Christian ministry
Please complete this application form and return it to the Duke Street Church office by one of
the following two options:
1. Complete this form in black ink and then return it, attaching a passport-sized photo and
marking the envelope ‘confidential’, to: Joy Shannon, Duke Street Church, Duke Street,
Richmond, Surrey TW9 1DH. (If there is insufficient space for your answers, please attach a
separate sheet.)
2. Email the application form to Joy Shannon at office@dukestreetchurch.com, attaching a
passport-sized photo as a jpeg, with the subject as ‘Confidential – MTS Application Form’
Please note, you will need to apply to Cornhill separately.
https://www.proctrust.org.uk/cornhill-application/
A. PERSONAL DETAILS
Surname:
Title:
Usual Christian name:
Other names:
Marital Status:
Name of spouse (if appropriate):
Names and ages of any children:
Age:
Date of Birth:
Nationality:
Are you legally eligible for employment in the
UK?
Home Address:
Term Address (if different):
Telephone (Home):
Telephone (Mobile):
Telephone (Work):
May we contact you at work?:
Email:
Do you hold a full driving license to drive a car in the UK?
Please give details of any endorsements to your license in the last 3 years:
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What previous contact, if any, have you had with Duke Street Church?
B. HEALTH
Would you say that your health was
GOOD / FAIR / POOR
Has poor heath kept you away from work or studies for any significant periods? (e.g. more than
one week at a time or more than three weeks in any one year)
YES / NO
If yes, please give details:
Do you have a physical disability?
If yes, please give details:
YES / NO
Have you ever had treatment for mental health problems such as depression?
If yes, please give details:
YES / NO
C. EDUCATIONAL BACKGROUND AND WORK EXPERIENCE
List secondary schools/colleges/universities attended, giving years of attendance and
qualifications obtained with grades/class. Please also give details of any training relevant to this
application.
Educational Institution
Years of Attendance
Qualifications Obtained
Present Employer:
Position Held:
List chronologically, with dates and employers names, other positions held in the last three
years (most recent position first). Please give reasons for leaving.
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D. CHRISTIAN EXPERIENCE
State your denomination and church:
How and when did you become a Christian?
What have been the main influences on your Christian life?
How would you describe your growth in your relationship with God over the last two years?
What gifts do you believe God has given you and how have you used them? In particular, what
involvement have you had in your church, Christian Union or any other Christian organisation?
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E. THIS POSITION
Given God’s sovereignty, what would you like to do with your life and how might you achieve
this?
Why are you interested in doing the Duke Street Ministry Trainee Scheme?
How do you think Cornhill will equip you for future ministry?
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What areas of ministry are you particularly interested in being involved in and why?
Evangelism
□
Music
□
Teaching/Preaching
□
Students
□
Youth Work
□
Visiting
□
Children’s work
□
Other (please state)
Homeless
□
Do you believe that your church would support your application?
YES / NO
How did you hear about the Ministry Trainee Scheme?
F. INTERESTS
What kinds of indoor and outdoor recreation do you pursue?
What books – secular and religious – have you read recently which you feel are significant and
what has their impact been?
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Which newspapers/periodicals/blogs/websites do you read regularly?
G. REFEREES
Please give the names of two people, in addition to your current employer (if employed), who
are willing to act as your referees. They should preferably have known you for at least two
years. One must be your Minister or Church Leader.
REFEREE 1
REFEREE 2
Name:
Name:
Status:
Status:
Telephone:
Telephone:
Email:
Email:
Address:
Address:
CURRENT EMPLOYER:
When may they be approached as a referee?
Name:
Status:
Telephone:
Email:
Address:
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H. OTHER
Everyone working in the church will at some stage have some contact with our children and
young people, even if this is not their primary area of ministry. Therefore we need to ask you the
following questions. In addition, successful applicants who will be working directly with children
and young people will be required to apply for an enhanced disclosure from the Disclosure and
Barring Service, in accordance with our Child Protection Policy.
Have you ever been convicted by the courts or cautioned, reprimanded or given a final warning
by the police? (Note, the post you have applied for is excepted from the Rehabilitation of
Offenders Act 1974, which means that all convictions, cautions, reprimands and final warnings
on your criminal record need to be disclosed whether spent or unspent.)
Yes

No

(Please tick)
If yes, please give details of offences, penalties and dates:
Is your name on the Department for Education and Skills (DfES) List, the Department of Health
(DoH) or National Assembly of Wales Protection of Children Act Lists as being a person
considered unfit to work with children and young people?
Yes

No

(Please tick)
If yes, please give details of offences, penalties and dates:
I have read, and am in agreement, with Duke Street Church’s Doctrinal Basis as per the
attached.
Signature of Applicant
Date:
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