Fairfax Church of Christ ELDER SELECTION 2016 Introspective Questionnaire

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1 ELDER SELECTION 2016 Introspective Questionnaire (Name) These questions are intended to help us better understand your thoughts on how God has worked in and through your life, the role of men serving as leaders, guardians, or shepherds of God s flock, and your expected contributions to helping this congregation grow and mature in its knowledge and application of God s word and faith in Him, our Heavenly Father. Hopefully, they will also be of value to you, too, as you prayerfully consider your thoughts on these matters. A. Who at FXCC would follow your leadership? B. Who at FXCC might come to you for prayer in a time of need? C. How are you supporting God s work financially at FXCC? D. How have you reconciled a relationship? E. What events or experiences have most shaped your spiritual life and in what way? F. In what capacity have you taught or taken leadership roles at this church or other churches? How did you go about taking on and executing that role(s)? What do you feel you gained and/or learned from it? G. In your view, what are the greatest challenges facing the church, at large, today? And more specifically, what are the challenges facing the, today? H. What is your vision for the over the next 2-5 years? I. What is your view of the role of Elders in the church and, in particular, at the? J. What are particular areas in which you would expect to make a personal contribution to the Fairfax leadership? In other words, what skills do you think you bring to the group and would bring to the church family here at Fairfax?

2 ELDER SELECTION 2016 Biographic Questionnaire (Name) These questions are intended to help us get to know you better from a personal background point of view. K. Provide a brief biographical statement of your personal, professional, and educational background. L. How long have you been married? M. Have you had any previous marriages? If yes, what were the circumstances? N. Do you have any children? If yes, how old are they? O. When were you baptized and what were the circumstances that led to your commitment to our Lord and your acceptance of Him as the Son of God and our Savior? P. Are your children baptized? If yes, please let us know some of the details, such as how many (if not all), at what age, and perhaps something of the circumstances that led to their commitment?

3 ELDER CANDIDATE REFERENCE REQUEST FORM Please provide contact information for these persons. Inform them that someone from your church may be contacting them with basic questions regarding your standing and personal reputation, as they may be able to provide comment and insight. One best friend at the Fairfax church with whom you regularly socialize. Two peers or immediate supervisors with whom you work. Two neighbors or friends who know you.

4 ELDER CANDIDATE REFERENCE REQUEST FORM (CONTINUED) List churches in which you have been a member in the past 15 years. (Other than Fairfax.) Church Approximate Dates of Membership: List two personal references from the above mentioned church. List churches in which you have been a member in the past 15 years. (Other than Fairfax.) Church Approximate Dates of Membership: List two personal references from the above mentioned church. Attach additional sheets if necessary

5 Authorization and Consent for Personal Background Investigation It is the policy of to ensure that all members serving in positions of an official capacity or in roles that place them into contact with children are screened to ensure the safest possible environment is maintained for our children and that the interests of the church as a corporate entity are protected. Accordingly, paid staff (employees) of the church, members who volunteer as teachers, Elders, and anyone else placed in a position of long-term leadership and who will exercise responsibility over the affairs of the, will have background checks performed to determine whether there are any issues of a criminal or fiduciary nature that would call into question the ability of the individual to serve in the desired capacity to the satisfaction of the church. Do you provide your consent to the to have such investigations into your personal background performed for the reasons provided above? If yes, please sign on the space provided: Signature Date Print your name

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