Small Group Leader Application Campus*NorcrossHamilton MillMidtownPersonal InformationToday's Date Date Format: MM slash DD slash YYYY Full Name* First Last Gender at birth*MaleFemaleDate of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Marital Status*SingleMarriedWidowedRemarriedDivorcedSpouse Full Name First Last # of children012345678910Children ages separated by commaAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home PhoneMobileEmail Where are you employed?What area of ministry are you currently involved in, if any?Have you ever been charged or convicted of a felony?*NoYesHave you ever been accused of physical or sexual abuse or harassment?*NoYesIs there anything in your past that might be considered a questionable issue?*NoYesIf you answered yes to any of the three previous questions, please explain.*Tell us a little bit about yourself (likes, dislikes, strengths, weaknesses).*Briefly explain why you would like to be a SMALL GROUP leader.*Church History and BeliefsAre you a member of Victory World Church?*YesNoHow long have you been a Christian?*Are you currently part of a SMALL GROUP?*YesNoWhich group do you attend?*Have you been water baptized?*YesNoDo you tithe on a regular basis?*YesNoHave you received the baptism of the Holy Spirit?*YesNoPlease list any ministry-related experiences, paid or volunteer.*Small Group Meeting InformationYou may update this information at any time.Gender of Group*Co-edWomen onlyMen onlyAge of Group (For example: All Ages, 18-30, Over 50, etc)*Interest of Group (For example: Bible Study or Online Bible Study, Single Parents, Baking, Trauma Support, etc)*Will children be allowed?*YesNoUnknownWhat day will you meet?SundayMondayTuesdayWednesdayThursdayFridaySaturdayWhat time will your meeting begin?Will you be meeting in your home?YesNoUnknownWhere will your group meet?What frequency will you meet?*WeeklyBiweeklyThree Times a MonthWill you have a co-leader (including spouse)?*YesNoWhat is their first & last name?