Youth Leader Form
Name (First, Last)
Address (Street, City, State, Zip)
Date of Birth
Spouse's Name (If Applicable)
Occupation / Place of Employment
Church Member Status
Partner (Completed "Life Track")
How long have you attended Lifehouse Church?
What Campus do you attend?
Do you have any previous experience in Ministry or Church involvement?
List any recent (past 3 years) experiences that have contributed to your spiritual growth
All Lifehouse Youth Leaders MUST be background checked. Do you agree to a background check?
Briefly describe when and how you accepted Jesus Christ as your savior:
Explain your understanding of the Gospel and the steps to become a follower of Christ:
What other current volunteer or leadership commitments do you have (not including family or work commitments)?
Why are you choosing to pursue ministry to Middle School or High School students?
Briefly share your thoughts on your beliefs on the following topics
Illegal Drug use:
Do you give Lifehouse Youth permission to use any images, videos, or recordings that you might be in for promotional or educational use in the future? (Your name or personal information will never be shared publicly without further consent)
I Do Not Agree
Signature (Full Name)
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