Certified CBC Application

Thank you for your interest in becoming one of Kingdom Companies' Certified Christian Business Consultants. Please fill in all you information and someone will contact you shortly.

Personal Information    
Name:
Date:
Business Name:
Phone Number:
Address:
Fax Number:
City, State, ZIP:
Business Number:
Email:
Mobile Number:
       
Education    
Graduate School:
      
School:
City and State:
Degree Recieved:
Years Attended:
       
School:
City and State:
Degree Recieved:
Years Attended:
       
School:
City and State:
Degree Recieved:
Years Attended:
Undergraduate School:
    
School:
City and State:
Degree Recieved:
Years Attended:
       
School:
City and State:
Degree Recieved:
Years Attended:
       
School:
City and State:
Degree Recieved:
Years Attended:
       
Business Experience    
Most Recent Employer    
Employer Name:
City and State:
Last Position:
Years Held:
Other Positions:
Years Held:
Supervisor Name:
    
Supervisor Phone #:
May We Contact?
     Yes No
Previous Employers    
Employer Name:
City and State:
Last Position:
Years Held:
Other Positions:
Years Held:
Supervisor Name:
    
Supervisor Phone #:
May We Contact?
     Yes No
       
Employer Name:
City and State:
Last Position:
Years Held:
Other Positions:
Years Held:
Supervisor Name:
    
Supervisor Phone #:
May We Contact?
     Yes No
       
Employer Name:
City and State:
Last Position:
Years Held:
Other Positions:
Years Held:
Supervisor Name:
    
Supervisor Phone #:
May We Contact?
     Yes No
       
Employer Name:
City and State:
Last Position:
Years Held:
Other Positions:
Years Held:
Supervisor Name:
    
Supervisor Phone #:
May We Contact?
     Yes No
       
Fellowship      
Current Church:
Years Attended:
Areas of Service:
   
Other Ministry Envolvement:    
Names:
Years Involved:
       
References      
Please list three business references and three spiritual references that we may contact.
Business References:    
Name:
Contact Numbers:
Email:
  
Name:
Contact Numbers:
Email:
  
Name:
Contact Numbers:
Email:
  
Spiritual References:    
Name:
Contact Numbers:
Email:
  
Name:
Contact Numbers:
Email:
  
Name:
Contact Numbers:
Email:
  
       
The Call      
Please provide a brief testimony of your spiritual walk and the reason you believe God may be calling you into this service.
I attest to the integrity of the information provided in this application:
   
Initial to Sign   Date