We need this information by February 1st, 2007
Today's Date ___________________
Your Name ____________________________________________________________________
Street Address __________________________________________________________________
City, State, Zip Code ____________________________________________________________
Nearest Main Cross-streets ________________________________________________________
Home Phone ____________________________________________________________________
Work Phone His _______________________ Hers ______________________________
Email Address(es) _______________________________________________________________
Occupation: His ________________________ Hers _______________________________
Children's Ages (if applicable) ____________________________________________________
Date Of Birth (month and day only) His ________________ Hers _____________________
Anniversary (if applicable) ________________________________________________________
Pick ONE “Station-in-Life” category that best describes your new LifeGroup designation:
General Young Marrieds
Young Families Parents of Children K-6
Parents of Teens Empty Nesters
Senior Adults College
20-Something 30-Something -- Co-ed Women Only Men Only
Open to all Single Adults Single Women Only
Single Parents Only Single Men Only
Recovery Ministry
Men's Recovery Group Women's Recovery Group
Co-ed Recovery Group 12-step Recovery Group
Recovery Group for those struggling in their marriage
Other Recovery Issue ________________________
Special Studies
Study Topic ___________________________ (Topic will be subject to approval)
Targeted Sermon-Based
Men Only Women Only
Couples Other Target Group ___________________
Do you have a leader for your group? If so, please complete this application in its entirety.
If you would like us to help put you in touch with potential leaders, please mark here: YES!
If we are going to help put you in touch with a leader, please let us know which nights you have available to host a LifeGroup so we can find a leader with the same available night.
“The nights I have available to host a LifeGroup are: ___________________________”
Until you have a leader, you may not be able to answer all of the questions on this application. Just write “TBD” on any questions that are “To Be Determined.”
Which Leader will you be hosting for? _________________________________________
LifeGroup Meeting Night ________________________________________________
Start Time _____________
Do you have any members to pre-enroll in your LifeGroup? If so, we need their name, address, and phone number.
Name___________________________________Address______________________________________________________Phone ____________________
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In addition to enrollment in your new LifeGroup, will you also be enrolling in any other LifeGroup at SCBBC? Yes No
If so, which group? ____________________________
How long have you attended Rocky Peak ? __________________________________________
Have you been in a Rocky Peak LifeGroup before? Yes No
If so, which group(s)? ___________________________________________________________
When? ______________________________________________________________________
Have you led or hosted a LifeGroup in the past? Yes No
If so, when? __________________________________________________________________
When and how did you become a Christian?
His story: ____________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Her story: ____________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Do you have any favorite hobbies, interest, or experiences?
His: _________________________________________________________________________
____________________________________________________________________________
Hers: _______________________________________________________________________
____________________________________________________________________________
Have any previous ministries affected your walk with the Lord (Young Life, Campus Crusade, Calvary Chapel, Navigators, Vineyard, charismatic movement, etc.)
His: _________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Hers: ________________________________________________________________________
____________________________________________________________________________
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Why are you interested in becoming a LifeGroup host? _________________________________
____________________________________________________________________________
Office Use Only: LifeGroup Coach ___________________________________________
Thank you for your interest in becoming a
LifeGroup Leader!
Please return to:
Janelle Vincent
Sierra College Blvd Baptist
4800 Sierra College Blvd
Rocklin, CA 95677
916-651-7216