Small Group Leader ApplicationPlease fill out the form below and submit by Tuesday, July 29th. Thank you! Would you like to lead Small Group at Westerville Christian Church? * Yes No Which type of group are you looking to lead? * Young Adults Adult Co-Ed Empty Nesters Sisterhood Men's Families (Parents of Teens) Families (Sermon Notes Group) Recovery & Support Group General Small Group Other Name * First Name Last Name Gender * Male Female Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Date of Birth MM DD YYYY Highest Education Degree Pursued Occupation Marital Status Single Married Widow When is your anniversary? MM DD YYYY Do you have any children? If yes, what ages? Do you have a personal relationship with Jesus Christ? * Yes No Have you been water baptized? * Yes No How long have you been consistently attending Westerville Christian Church? * Have you attended a Connect class? Yes No Have you been in any Westerville Christian Church life groups in the past two years? Yes No Do you have any experience leading a team or life group? Yes No Please explain your team leading experience: Are you involved in any other church or ministry? Yes No Have you ever been involved in any youth-serving organizations as an employee or volunteer with an official background check? Yes No Please identify each organization and describe your involvement: Please provide a person of reference with their name, phone number and email address. Describe your spiritual background or testimony (life before Christ, when you met Him, why you chose to follow Him, what your life is like now with Him): * How healthy do you believe your relationship with your spouse is and why? If spouse is also applying for leadership, please list their name here: Whether married or unmarried, have you had any unhealthy relationships within the past two years [sexually immoral, romantic behaviors in "friendships", needy dependencies, cohabitation outside of marriage, etc.]? Yes No In the past 2 years, have you dealt with any sort of stronghold? If yes, check all that apply. If no, check 'None of the above" Alcohol Addiction Drug Addiction Unhealthy Relationships/Co-dependent Relationships Sexual Relationships Same Sex Attraction Pornography Addiction Depression, Anxiety, or any other Mental Illness Eating Disorders Suicidal Thoughts or Attempts Pathological Lying Atheism Another Religion Other None of the Above Explain any stronghold that has been an issue for you in the last two years: Please give a full explanation of any prior criminal convictions: Do you agree to be 100% committed and loyal to the Leadership requirements and the Westerville Christian Church Covenant? Yes No I understand that leading a small group entails a one-year commitment. Yes No Thank you!
