Personal Information

Thank you for your interest in serving as a Connect Group Host at Kingdom Christian Center.

Your application is the first step in our process for considering you to serve in this very important role. To be considered for a host role at KCC, you must:

•             Have a personal, growing relationship with Jesus Christ (preferably for two years or more)
•             Be a member of KCC (or be in the process)
•             Have the time, emotional capacity, and moral discernment to host a group

Hosts will be oriented/trained by a CG Coordinator and will commit to orientation (date tbd); Connect Groups (Wednesdays, August 29 - September , from 6:30 - 8:30PM); plus one meeting for debrief (date tbd).  

PLEASE NOTE: APPLICATIONS MUST BE SUBMITTED BY WEDNESDAY, AUGUST 15th.

For more information, contact Jennifer Beard at (614) 946-8381, or thejbs18@gmail.com.

Name

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* 1. Name

Date of Birth (MM/DD/YY)

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* 2. Date of Birth (MM/DD/YY)

Street Address

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* 3. Street Address

City

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* 4. City

Zip Code

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* 5. Zip Code

Home Phone

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* 6. Home Phone

Work Phone

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* 7. Work Phone

Cell Phone

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* 8. Cell Phone

Email

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* 9. Email

Marital Status

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* 10. Marital Status

Spouse's Name (if married)

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* 11. Spouse's Name (if married)

Date of Marriage (MM/DD/YY)

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* 12. Date of Marriage (MM/DD/YY)

How long have you been a member of KCC?

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* 13. How long have you been a member of KCC?

Do you attend church regularly?

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* 14. Do you attend church regularly?

In what ministry/ministries are you currently serving?

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* 15. In what ministry/ministries are you currently serving?

Have you ever participated in a small group at KCC or elsewhere?

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* 16. Have you ever participated in a small group at KCC or elsewhere?

Have you ever led a small group?

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* 17. Have you ever led a small group?

Will you commit to 7 weeks of Connect Group Ministry,. This includes 5 group sessions (Wednesdays, from 6:30 - 8:30PM, August 29 - September 26, 1 host orientation meeting (tbd), and 1 de-brief meeting (tbd)?

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* 18. Will you commit to 7 weeks of Connect Group Ministry,. This includes 5 group sessions (Wednesdays, from 6:30 - 8:30PM, August 29 - September 26, 1 host orientation meeting (tbd), and 1 de-brief meeting (tbd)?

KCC’s Vision is to inspire people to live a better quality of life through Jesus Christ. Briefly state how you carry out this vision in your life.

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* 19. KCC’s Vision is to inspire people to live a better quality of life through Jesus Christ. Briefly state how you carry out this vision in your life.

Briefly state why you would like to become a Connect Group Leader:

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* 20. Briefly state why you would like to become a Connect Group Leader:

A reference is required to complete your application. Your reference may be a KCC member or team lead for a ministry you have served with, or a personal reference outside of the church who has been able to witness your service in any capacity. Reference should not be a family member.

Provide   information for your reference here:

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* 21. A reference is required to complete your application. Your reference may be a KCC member or team lead for a ministry you have served with, or a personal reference outside of the church who has been able to witness your service in any capacity. Reference should not be a family member.

Provide   information for your reference here:

Have you ever been charged with or convicted of a felony?

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* 22. Have you ever been charged with or convicted of a felony?

Have you ever been accused of physical or sexual abuse or harassment?

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* 23. Have you ever been accused of physical or sexual abuse or harassment?

(Answering “yes” to either of the above questions does not automatically disqualify a person from consideration)

If “yes” to one or both questions, please describe.

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* 24. (Answering “yes” to either of the above questions does not automatically disqualify a person from consideration)

If “yes” to one or both questions, please describe.

There may be situations in which we require a criminal history check. Will you give KCC permission to 
conduct a criminal background check on you?

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* 25. There may be situations in which we require a criminal history check. Will you give KCC permission to 
conduct a criminal background check on you?

) I authorize the reference listed above, on this application to furnish information concerning my personal character.

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* 26. ) I authorize the reference listed above, on this application to furnish information concerning my personal character.

All of the information provided in this application is true and complete to the best of my 
knowledge.

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* 27. All of the information provided in this application is true and complete to the best of my 
knowledge.

I agree to abide by KCC policies and guidelines, including submitting to the guidance 
and authority of KCC Leadership.

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* 28. I agree to abide by KCC policies and guidelines, including submitting to the guidance 
and authority of KCC Leadership.

By clicking submit I authorize and agree to the statements above

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* 29. By clicking submit I authorize and agree to the statements above

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