Groups Leader Application Groups Leader Application Date* First Name*Last Name*Male/Female*MaleFemaleBirthdate*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home PhoneCell Phone*Marital Status*SingleEngagedMarriedDivorcedSpouses NameChurch History and What You BelieveAre you a born again believer?*YesNoHow long?*How long have you regularly attended Anchor Church?*Have you attended Anchor Heart & Soul membership class?*YesNoAre you a member of Anchor Church?*YesNoPlease check the statements that apply to you. “I believe…* …the virgin birth and deity of Jesus Christ.” …that Jesus is God’s Son and only sacrifice for sin.” …that Jesus rose bodily from the dead.” …that a person must be born again to receive eternal life.” …in the infallibility of the Holy Bible.” …in the eternal damnation of the lost.” Information on previous church attended:Name of ChurchCity/ State of ChurchHow long did you attend this church?Name of PastorBriefly explain why you would like to be a group leader:*Please list any references we may contact:Are you currently serving on an Anchor Serve Team?*YesNoIf yes, which team?*Please select the type of groups that would interest you: Outreach Fitness Marriage and Family Men Women Financial Health Anchor Students (middle school-high school) Young Adults (18-30) Single Adults Freedom Ministry Business Leaders Leadership Commitment:“… likewise, they must be worthy of respect, sincere, not indulging in much wine, and not pursuing dishonest gain. They must keep hold of the deep truths of the faith with a clear conscience… They must first be tested; and then if there is nothing against them, let them serve...” 1 Timothy 3:8-10Qualifications:1. Sincere, worthy of respect, and of a good reputation. 2. Tithe regularly to the Lord. 3. Have a genuine desire to serve and minister to other people. 4. Able to lead, motivate, and teach other people. 5. Able to create positive group dynamics, and deal with conflict resolution within the group. I believe that I meet the qualifications for serving as a Group Leader, and I have read and agree to the following: (By checking the box, you are agreeing to each statement) to fulfill the responsibilities outlined on the Group Leader Job Description to abide by the Anchor Group Leader Honor Code to help fulfill the Mission, Vision, & Purpose of Anchor Church to embrace and teach Christian principles as stated in the Church of the Anchor Statement of Faith Background InformationHas anyone ever brought or threatened to bring civil or criminal claim against you alleging physical or sexual abuse or sexual harassment?*YesNoHave you ever been charged, arrested, or convicted of a felony or misdemeanor?*YesNoHave you ever terminated your employment or had your employment terminated or has your employer ever reprimanded you for reasons relating to allegations of physical or sexual abuse or sexual harassment by you?*YesNoHave you ever been reprimanded as a student for harassment of another individual or other inappropriate behavior with another individual?*YesNoIs there anything in your past that might come up as a questionable issue?*YesNoIf yes, please explain.Authorization and Release* By checking this box, I certify that the information contained in this application is complete, accurate, and not misleading in any way. Should my application be accepted, I agree to submit to the policies and procedures of Church of the Anchor Group Ministries, and to refrain from unscriptural conduct in the performance of my services on behalf of Church of the Anchor. Name* First Last
