DISCIPLESHIP GROUP APPLICATION
Interested in joining a discipleship group at
ROCK
HARBOR?
Complete the form below and someone from our staff will contact you with discipleship information.
first name ::
last name ::
email address ::
confirm email address ::
home phone ::
(optional)
cell phone ::
street address ::
city ::
, CA
zip code ::
birthday ::
gender ::
male
female
marital status ::
single
married
children ::
yes
no
occupation ::
I want to be discipled ::
I want to disciple others ::
availability to meet ::
monday |
before 9am
after 6pm
tuesday |
before 9am
after 6pm
wednesday |
before 9am
after 6pm
thursday |
before 9am
after 6pm
friday |
before 9am
after 6pm
other days/times |
how long have you been
walking with the Lord?
what moved you toward the idea
of mentoring/discipleship?
what are you specifically looking to happen
within your discipleship group?
briefly summarize your current relationship with
God including strengths and weaknesses.
additional comments
(optional)
©2008
ROCK
HARBOR
