Picayune FBC DNOW Leader Application (2023)

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January 13 - 15, 2023

Application Survey for Disciple Now Leaders - Please fill out the following form as honestly as possible. The responses to this application will assist in placement/group assignments and will be kept confidential.

First Name *

Last Name *

Gender *

Male

Female

Email Address *

Cell Number *

Birthdate *

YYYY

Availability *

Your responsibilities as a leader for DNOW will take place from 4:30pm Friday, January 13 - 1:00pm Sunday, January 15. Are you available for this full allotment of time? [you are also welcome to arrive earlier on Friday and stay to join us for lunch on Sunday]

Yes

Availability (part 2)

If you answered no above, please explain your circumstances (arrive late/leave early, etc...)

Life Stage *

Where are you in life now? - school, married, life/ministry goals, etc...

Life Stage (Part 2) - What year in College? *

Freshman

Sophomore

Junior

Senior

Not Applicable

From where would you be traveling? *

Why do you want to serve as a DNOW leader? *

For which role would you like to be considered? *

Check all that apply.

Group Leader

Group Helper

Shadow a Group Leader

Any/all roles

Required

Anything Else...

Please share anything else that you would like us to know about you.

Submit

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