Personal Information

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Nominee Info

First Name

Last Name

Home Group

Sphere

Is this person currently a Home Church Leader?

No Yes

Name of Spouse (If Applicable)

Is their spouse also being considered?

No Yes

If yes, A separate form should be filled out

Nominator Info

First Name of Nominator

Last Name of Nominator

Nominator Email Address

Your ministry involvement with the nominee:

Has this person brought someone to a saving faith in Christ?

Yes No Not Sure

Has this person brought a non-Christian to a meeting in the last year or two?

Yes No Not Sure

Discipleship

Is this person spending regular time (at least every other week) discipling with Biblical content, ministry coaching, counseling/guidance, and prayer?

No Yes

Disciples

Disciple Name

How often do they meet? (On average)

Weekly Bi-Weekly

How long have they met?

Disciple Name

How often do they meet? (On average)

Weekly Bi-Weekly

How long have they met?

Additional Discipleship

Please include any other helpful information or additional ministry roles in which this person engages.