EmailMe Form - SMALL GROUPS LEADER APPLICATION

Name: *
First Last
Today's date *
MM / DD / YYYY
PERSONAL INFORMATION
Email address *
Phone number *
### - ### - ####
Do we have permission to text you small groups updates at this number? *
yes
no
MINISTRY RELATED EXPERIENCE
Please list any areas of ministry for which you have served and classes you have taken or have registered for: *
In addition to leading a small group, would you also like to help the Small Group Ministry in any of these areas?
Prayer
Writing curriculum/devotionals
Recruiting volunteers
Organizing volunteers
Connecting people to groups
Office help
Teaching
Large event preparation
Weekend concourse team (greet/assist hosts, leaders and inquirers)
BACKGROUND INFORMATION
Has anyone ever brought or threatened to bring a civil or criminal claim against you alleging physical or sexual abuse or sexual harassment? If "yes," please give a brief explanation *
No
Yes
Have you ever been charged, arrested or convicted of a felony? If "yes," please give a brief explanation. *
No
Yes
Have you ever been terminated or has your employer ever reprimanded you for reasons relating to allegations of physical or sexual abuse or sexual harassment by you? If "yes," please give a brief explanation. *
No
Yes
Is there anything in your past that might come up as a questionable issue? If "yes," please give a brief explanation. *
No
Yes
REFERENCES
Please provide one personal reference (excluding family members) and one pastoral/ministry reference whom you have personally served with.
1. Personal reference name, email and relationship: *
2. Pastoral/ministry reference name and email: *
By inputting my name below, I certify that the information contained in this application is complete, accurate, and not misleading in any way. I authorize Water of Life Church and its leadership to contact references provided, as well as church staff, ministry leaders and records in order to obtain information regarding my character and fitness for Small Group Leadership. Should my application be accepted, I agree to submit to the policies and procedures of Water of Life Church Small Group Ministries and to refrain from unscriptural conduct in the performance of my services on behalf of Water of Life Church.
SMALL GROUP MINISTRY LEADERSHIP COMMITMENT

QUALIFICATIONS:

*Sincere, worthy of respect and of a good reputation
*Have a genuine desire to serve and minister to other people
*Able to lead, motivate and teach other people
*Able to create positive group dynamics and resolve conflict within the group
*Reasonably healthy home life
*Member of Water of Life

I believe that I meet the qualifications for serving as a Small Group Host.
Please read the Water of Life "Core Values" and "Our Beliefs" @ https://wateroflifecc.org/about/#ourcorevalues. Then check each statement below that you are in agreement:
I agree with the Core Values of Water of Life and agree to live out those values. *
I agree
I agree with and embrace Water of Life's beliefs as stated in the "Our Beliefs" and will live those out. *
I agree
By inputting my name here, I agree to abide by Water of Life's Core Values and Statement of Faith as found in "Our Beliefs. *
First Last
DATA CONFIDENTIALITY AGREEMENT
The data (name, address, commitments, etc.) that we have recorded for the members and attendees of our Small Groups are some of our most valuable resources. In order to value and protect that resource, access to and use of Water of Life's data is granted based upon the following agreement:

1. I will protect this data by:

*Not giving it out to others

2. I will protect our integrity as a church by:

*Using the data for Small Group purposes only.
*Not using or permitting others to use the data for personal fund raising or commercial purposes.

3. I will protect the privacy of each individual in our Small Group database.

4. I will take ownership for the accuracy of the data in our database by:

*Correcting inaccurate data.
*Entering only data that I know to be accurate.
By inputting my name here, I agree to abide by Water of Life's data integrity agreement. *
First Last
REVIEW AND SUBMISSION

Once you've fully completed this form, take a moment to re-check the application to make sure you have filled out and signed all of the items.

PERSONAL INFORMATION

MINISTRY RELATED EXPERIENCE

BACKGROUND INFORMATION

REFERENCES

SMALL GROUP MINISTRY LEADERSHIP COMMITMENT

DATA CONFIDENTIALITY AGREEMENT

REVIEW AND SUBMISSION