Life Group Application

Name

Address

Phone

Birthdate

Gender(required)

Male

Female

Brief occupational history

Marital status(required)

Married

Single

Children

Church affiliation and denomination

Please list your missions or ministry experience:

Please list your hobbies and interests:

Are you able to drive to meeting locations within Lake County?(required)

Yes

Would you like to be in a Community Life Group with your spouse or a friend? If yes, please provide their name.

Have you ever been incarcerated?(required)

Yes

Do you know someone who has been incarcerated?(required)

Yes

Have you ever mentored another person or been mentored yourself? If so, what did you learn from the experience?

What do you hope to gain from the Community Life Group experience?

What would you describe as your strengths?

What would you describe as your weaknesses?

Would you describe yourself as more introspective or outgoing? Why?

Have you had experience participating in a small group? What were the goals? Was it a good experience? Please provide some background.

What did you learn from the 2-hour informational session and the materials that were provided? Did you learn anything new or surprising?

Thank you for taking the time to fill out this application. We look forward to serving in this important ministry with you!