Fall Small Group Sign Ups Begin August 27th
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First Name
Last Name
Email
Phone Number
Date of birth
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February
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October
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December
Date
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31
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1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
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1959
1960
1961
1962
1963
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1971
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1980
1981
1982
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1989
1990
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1992
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Address
Apartment, suite, etc.
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Postal / Zip Code
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Single
Married
Widowed
Separated
Divorced
I'd rather not say
Have you attended a Next Steps event?
Yes
No
If yes, did you partner with Impact Church at that Next Steps event?
Yes
No
Do you currently (or in the past) serve in any other areas of ministry at Impact? If so, where?
We want to get to know you, so tell a little bit about yourself. (i.e. Where are you from? What are your likes/dislikes? What is your personality like?)
Have you ever been convicted of a crime or felony?
Yes
No
If yes, please explain:
Have you accepted Jesus Christ as your Lord and Savior?
Yes
No
Tell a little bit of your testimony:
What is your life verse? Why did you choose this verse?
Without looking up the definition, what is a disciple? Do you consider yourself a disciple of Jesus? Why/why not? How would Matthew 28:19-20 relate to you in your ministry in ImpactYTH?
What does living out of the overflow of your heart mean to you, and why is that important in serving with ImpactYTH?
Why do you want to serve in the Youth ministry at Impact Church?
How can you use your story/experience/relationship with Jesus to pour His love into students?
What is your personal vision for ministry within Impact Youth? Do you have any ideas of how God might accomplish that through you? If yes, please explain.
Have you ever worked with Middle and/or High School students before? If so, when, where, and how was that experience for you?
Are there any possible situations regarding youth that would make you feel uncomfortable? If yes, what would that situation look like?
Is there anything that would keep you from going on day or overnight trips with the Youth? If yes, please explain.
Do you have any special skills or talents that would benefit the Youth ministry? (i.e. I can sing! I can dance! I play an instrument! I love playing games and have some great ones in mind!)
Please rate your perception of yourself in these areas on a scale of 1-5 (1 = least and 5 = most).
Leading Small Groups
1
2
3
4
5
Submitting to Leadership
1
2
3
4
5
Teamwork
1
2
3
4
5
Fun-ness
1
2
3
4
5
Flexibility (which will be needed and happens often in ImpactYTH)
1
2
3
4
5
Communication
1
2
3
4
5
Willingness to get out of your comfort zone
1
2
3
4
5
I understand that serving with Impact YTH requires commitment on my part, including but not limited to attendance at events, prayer for the students, and reaching out to students during the week. Participation at Impact YTH services and events is expected of all youth leaders.
I understand.
How much wood would a woodchuck chuck if a woodchuck could chuck wood?
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