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2019 IMPACT Host Home Application
Thank you for your interest in serving as a host home.
Impact takes place Monday-Thursday, June 17-20.


- Invite your neighbors with children ages 5-12 to your home for clubs and GBC for the carnival June 21
- Provide daily feedback to host home coordinator
- Provide simple snacks for the Bible club
- Walk around your neighborhood and invite kids to your home for Bible club
- Engage parents during clubs
- Come to our IMPACT Carnival June 21
- Be willing to follow up with families that participate in your club
- Publicize your club via social media
Email address *
The Basics
What elementary school is your home near?
Your answer
Have you been a host home for a Bible club before?
Do you have any children between the ages of 5-12? (does not disqualify you if you don't)
How many kids are you expecting to come to a Bible club?
Do you have space inside the house or in your garage in case of rain?
What time would you prefer to have your club?
Host Home Information
Your answer
Your answer
Your answer
Your answer
Zip Code
Your answer
Your answer
A copy of your responses will be emailed to the address you provided.
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