BECOME A LEADER

Name *

First Name

Last Name

Phone *

(###)

###

####

Are you looking to serve on Sunday morning Middle School OR Sunday Night High School teams? *

Sunday Morning Middle School

Sunday Night High School

Both!

Have you been through Connect Class or Partner? *

Yes

No

Please list a Spiritual Reference (Someone who mentored you or can vouch for your spiritual well being). *

First Name

Last Name

Phone Number of that person *

(###)

###

####

Are dealing with addictions? *

Yes

No

Can you make it to Leaders Meetings once a month? *

Yes

No

Reference #1 Name *

First Name

Last Name

Reference #1 Phone *

(###)

###

####

Reference #2 Name *

First Name

Last Name

Reference #2 Phone *

(###)

###

####