If you're interested in applying the Vintage's Ministry Residency, fill out the form below, or download a PDF version that you can fill out and email to Pastor Dustin.

Personal Information
Name *
Name
Date of Birth *
Date of Birth
Address *
Address
Gender *
Marital Status *
Phone Number *
Phone Number
Are you currently a Vintage Partner? *
Ministry Information
Have you ever served in the local church? *
References
Please list the names of two people whom we can contact as references. These should be people who have done ministry with you, but are not related to you.
Reference 1: *
Reference 1:
Phone *
Phone
Reference 2: *
Reference 2:
Phone *
Phone
Please list the last two churches you have been a part of:
Phone *
Phone
Phone *
Phone
Do you agree with Vintage Church's theological beliefs? *
Vintage's theological beliefs can be found here.
Do you affirm the mission and values of Vintage Church and agree to cooperate and serve alongside the pastors of the church? *
Vintage's mission and values can be found here.
Signature
By typing my name, I acknowledge that it serves as my signature
Date *
Date