Home Group Leader Application

Personal Information



Please fill out this form completely. If you are married, we ask that you and your spouse both fill out separate applications.

Todays Date
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Name:*
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Address*
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Email*
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Phone Number*
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Birthday*
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Please include Day/Month/Year

Age*
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Marital Status*
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Wedding Date
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Please include Day/Month/Year

Is Your Spouse a Believer?
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Do You Have Children Living at Home?*
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If Yes, What Are Their Ages?
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Are You a Member of LaPorte Assembly?*
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If Yes, For How Long?
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Have You Filled Out an LPAG Volunteer Form and Background Check?*

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If You Have any Unique Personal Views on Biblical Doctrine, Attitudes or Behaviors That Differ From What is Taught at LPAG, Please List Them Here:
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Spiritual Questions

Briefly Describe Your Story of Coming Into Relationship With Jesus Christ*
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How Would You Describe Your Relationship With Jesus?*
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Have You Been Baptized in Water?*
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If Yes, When?
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Do You Know Your Spiritual Gifts?*
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If yes, What are They?
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Small Group Information

Are You Currently in a Small Group?*
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If Yes, Who is Your Leader?
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What Would You Like the Demographics of Your Home Group to be?*
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(i.e. Mixed Gender, Women Only, Men Only, Married Couples, Empty Nesters, etc.)

How Would You Describe Your Past Experience With Small Groups?
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Have You Ever led a Small Group Before? If Yes, What did you Learn From That Experience?
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Why Would You Like to Lead a Small Group?
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Reference Information

Please Provide The Names Of Two Members Of LaPorte Assembly, Or Your Previous Church That We May Contact as References Who Are Not Relatives

Reference #1
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Reference #2
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By Clicking Submit I Affirm That The Information In This Application Is Correct To The Best Of My Knowledge, And I Give Permission To LaPorte Assembly To Verify This Information And To Contact These References.

Please Type The Letters/Numbers Pictured*
Please Type The Letters/Numbers Pictured
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