Dorm Assistant Application Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Please share your personal testimony of faith in Jesus Christ.(Required)Please describe how God is equipping you in your own Spiritual walk to reflect Christ and encourage others in their spiritual life.(Required)As a potential dorm assistant, how do you see FLBC students benefiting from your presence and influence on campus?(Required)Describe your personality type. What type of people do you work well with, and with what personality types do you struggle with the most?(Required)Are you currently attending or planning to attend college during the next year? What field of study are you pursuing and what do you anticipate your schedule will be during the school year?(Required)Are you currently employed? If you plan to continue your employment while serving as a DA, what is your likely work schedule?(Required)Please list the name, email, and phone number of two personal references (pastor, teacher, instructor, or spiritual mentor).(Required)Is there anything else that you would like to share about your reason(s) for seeking the dorm assistant position?(Required) Δ
