The
Capital ConneXion
The
Capital ConneXion
"Equipping God's People to Reach the City"
Application for Adjunct
Faculty
This application is for persons who have been nominated or desire to serve as adjunct faculty or a mentor in the residence school or in an extension location. Please download and fill out the entire form, resave it and submit it with a resume via email to info@thecapitalconnexion.com. You will be notified when a decision has been made.
Name ________________________ E-mail __________________________
Address ______________________
______________________
City _____________ State ___ Zip ___________
Phone ____ ___________________
Phone ____ ___________________
□ 1. I subscribe in good conscience to the Statement of Faith on the web site
□ 2. I will maintain a moral and spiritual behavior and teaching in keeping with the philosophy and conduct codes of the school (Catalog).
□ 3. I will evangelize and disciple men and women so they love and follow Christ.
4. Degrees Earned
Degree Field School Date
5. Recent Teaching/Employment History
Class Title School Term Reference Person Address Email
6. Please attach a current resume and list of publications.
7. References
Name Address Phone Email
Professional:
Pastor:
Student or disciple:
All of the above information is correct to the best of my knowledge.
Signature ____________________________ Date ________________