Small Group Leader Application Form • Impact Church

Your application will be reviewed and an interview will then be arranged with one of the Pastors. Confidentiality is extremely important to us; therefore, this information will only be seen by the Pastoral Team.

NOTE - If there is more than one person desiring to lead this group [i.e. a couple, two friends], we ask that each person fill out a separate application.

Small Group Semester you are applying for *

PERSONAL INFORMATION

First Name *

Last Name *

Date of Birth *

Home Address *

Home City *

Home Postal Code *

Email Address *

Phone Number *

Marital Status *

SPIRITUAL & CHURCH HISTORY

How long have you been an active, devoted Christian? *

How long have you regularly attended Impact Church? *

Previous church? *

Years attended previous church? *

Previous church Pastor's name?

Describe your salvation experience *

SMALL GROUP SPECIFIC INFORMATION

Title of your proposed small group: *

Are you co-leading this proposed group with anyone?

Who are you co-leading with?

Location for your proposed Small Group: *

If 'other' please specify location:

Preferred meeting day & time: *

Alternative meeting day & time

Number of weeks the group will run: *

Any cost for this Small Group: *

Any materials needed [i.e. books] *

Who is your target group [be specific] *

Tip: women, men, young adults, married couples, etc.

Describe the activities and format that will be involved with this group: *

Briefly explain WHY you would like to be a Small Group Leader: *

Do you feel like you have anything that would hinder you from being an effective Small Group leader? If so, can you please explain: *

Should you be approved, do you have any areas of spiritual growth that your Small Group Coach can assist or support you with? If so, can you please explain: *

SMALL GROUP LEADERS COMMITMENT

I have completed LAUNCH, which is the main pre-requisite for leading a small group at Impact, and now desire to become a Small Group Leader at Impact Church and believe that I meet the “Small Group Leader Requirements” for this position. I have also read and agree to honour and abide by the following:

Impact Church Vision, Mission, & Values
Impact Church Team Values [C.H.R.I.S.T. acronym]
Impact Church Statements of Faith
Small Group Leaders Manual (will be emailed to you following submission of application)

Furthermore, I agree to faithfully and regularly:

Attend any Small Group Leader training
Communicate with my Small Group Coach

SMALL GROUP LEADER HONOUR CODE

I recognize the influence and visibility I have as a Small Group Leader within Impact Church. As a result, I will do my best to maintain a healthy devotional life, live out mature Christian behaviour, make wise choices that glorify God, and reflect the heart of a servant leader. I pledge to demonstrate Biblical standards in all situations, knowing that the way I present myself to others is of vital importance to the way others perceive and understand Jesus. I desire to present a godly example in speech and in action in order to inspire others to grow in their relationship with Jesus.

***Impact Church retains the right to deny or revoke Small Group Leadership privileges from anyone who fails to uphold the commitments made in this document.***

By typing my name I certify that the information contained in this application is complete and accurate to the best of my knowledge and I have read the above statements *

Date: *