Adult Discipleship Leader/Host Application

For Brentwood Campus members who want to lead a Small Group for Adults.

*Address Line 1
Address Line 2
*City
*State/Province/Region
*Zip/Postal Code
*Birthday:
*I feel that God is calling me to 
Tell us about your family.
*How long have you been attending a Brentwood Baptist campus?
*My membership journey.
PLACE Completion Date (okay to guess). Leave blank if you haven't completed PLACE.
*In the space below, list in order your top 3 Spiritual Gifts.Administration | Discernment | Evangelism | Exhortation/Encouragement | Faith | Giving | Helps | Hospitality | Knowledge | Leadership | Mercy | Pastor/Shepherd | Prophecy | Service | Teaching | Wisdom
*List ministries, groups, or areas of service where you are currently involved.
*Briefly describe your spiritual background and when you placed your faith in Jesus Christ as your Lord and Savior?
*List the current spiritual practices in your life that are helping you grow in your faith.
*CLICK HERE to read the Baptist Faith & Message:
If you have any concerns leading, teaching, or facilitating consistent with the 1963/1998 Baptist Faith & Message, please explain:
Public and Private Behavior: If you have had or currently have issues with any areas of addiction or abuse related to the use of illegal drugs, prescription drugs, alcohol, or inappropriate sexual practice/pornography, please discuss this privately with the Adult Groups Minister.
*Have you ever been convicted of any crimes other than minor traffic violations?
If yes, please describe:
Disciple making influencers in your life: Please list the names and contact information of a couple people who have been influential in your spiritual growth over the years. We may contact them to learn how to better serve you
*Ministerial Reference Name:
*Contact Information (phone and/or email):
*Work Title:
*Character Reference Name:
*Contact Information:
*Profession:
*Relationship:
Previous Church Membership and Ministry Involvement: List your last church membership.
*Church Name:
*Years of Membership:
*List your ministry involvement:
*Reason for changing churches:
Release Statement: I have read this document in its entirety and the information and statements provided are correct to the best of my knowledge. I am comfortable with you contacting others who have been influential in my life and authorize them to provide information which will help my spiritual growth. I hereby authorize Brentwood Baptist Church to conduct a background check if needed for this leadership role.
*Digital Signature:
*Today's Date: