Name *
Address *
Phone *
Sex *
Marital Status *
Spouse Name
Spouse Name
Have you received Jesus Christ as your personal Lord and Savior? *
Have you been water baptized? *
Have you ever been involved in Volunteer Ministry? *
Do you have any limitation or conditions preventig you from performing certain types of activities relating to Volunteer Ministry? *
Do you regularly attend Life Church? *
Is your spouse in agreement with you becoming an active part of Life Church?
Have you ever been accused of and/or convicted of spousal abuse in any form? *
Have you ever been accused and/or convicted of child abuse or a crime involving actual or attempted sexual molestation of a minor? *
Do you currently use illegal drugs? *