Student Ministry Leadership Commitment

After prayerfully considering the opportunities to lead by example and facilitate the process of helping our students to be conformed to the image of Christ and to becoming leaders in the kingdom of God, I would like to become involved in the following:

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First Name
Last Name
Email Address
Phone Number	(Format: 999-999-9999)

My Student(s) Name & Grade
I am interested in serving in . . .	Middle School High School

Discipleship-Making Community Groups	Sunday Evenings

Bible Fellowship	Teacher Relationship Builder

Chaperone	Monthly Event Summer/Winter Retreat

Host Home	DNOW Community Group Special Event (Christmas Party Hayride or Bonfire)

"Community Place" Leader	Sports/Recreation Community Service Scrap-booking Bible Study Mentoring Ping-Pong Tutoring X-Box

Parents' Place	Attend or Sunday AM (Quarterly) Contributing Leader

Gift Group Leader	Evangelism Service Cookie Team Prayer Leadership Visitation Hospitality Encouragement Acts of Kindness

Other areas of Interest:

First Name
Last Name
Email
Phone
Address

City
State/Province
Country
Postal Code

Credit Card Type
Credit Card No.
CCV
Expiration Date	/
	or Cancel

Student Ministry Leadership Commitment

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