# Small Group Leader Application – North Heights

http://www.nhlc.org/Forms/sgleadapp.htm

1. General Information
This form is to be completed by ONE person only. Please fill out as thoroughly as possible.

Today's Date |
Name: |
Street Address |
Address (cont.) |
City |
State/Province |
Zip/Postal Code |
Work Phone | Cell Phone:
Home Phone |
E-mail |

2. How would you like to be involved in a small group? Leader Apprentice Leader

3. Have you attended an Alpha course? Yes No

4. Have you attended Cleansing Stream? Yes No

5. Where do you usually attend worship?
Arden Hills Roseville Sanctuary Fellowship Hall

6. How long have you attended North Heights?

7. What church do attend if not North Heights?

8. What is your birthdate? mm/dd/yy Male Female

9. What is your marital status? Single Married Divorced Remarried
Widowed

10. What is your work situation? Student Fulltime Part-time Retired

11. Are you a parent? Yes No

12. If so, what are your children's names and ages:

13. Are you representing a small group from another ministry at North Heights (other than the Discipleship Small Group ministry)? For example, is the group you want to lead affiliated with:
Children Marriage Men's Music & Drama Singles
Support & Counseling Women's Young Adult Youth

14. How have you been involved at North Heights in ways other than small groups?
How long have you been involved in each area?

15. Please submit the names and phone numbers of two persons who would
recommend you as a new leader. One of your recommendations should
be a member of North Heights who has known you at least one (1) year.

16. What would you like us to know about you?