2024 VCC Living Waters Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

January - May 2024. Vineyard Community Church, 8301 Lamar Ave., Overland Park, KS 66207

The following information is requested from each applicant and will remain confidential. Please answer as completely as possible. Once your application is received you will be contacted to schedule an application interview where we will discuss any questions you may have.

You may also direct questions to us, via email, at livingwaters@vcc.church.

Dean Greer & Tamara Peterman, Coordinators

Email *

First and Last Name *

Street Address *

City *

State *

Zip Code *

Cell-phone Number *

Gender *

Male

Female

Age *

Marital Status *

Single

Married (please add how long in the "Other" space below)

Separated (please add how long in the "Other" space below)

Divorced (please add how long in the "Other" space below)

Widowed (please add how long in the "Other" space below)

Other:

Required

Do you have children? *

Yes (please add how many and their ages in the "Other" space below)

Other:

Required

Are you a Christian? *

Yes (please add how long in the "Other" space below)

Other:

Required

Current church affiliation *

How did you hear about Living Waters? *

Vineyard Community Church

DSM e-mail campaign/mailing list

Friend/Family member

Therapist referral

Other:

Clear form

Never submit passwords through Google Forms.

This form was created inside of Desert Stream Ministries. Report Abuse

Forms