Discipleship Form 2019-2020

I. Contact Information

First Name

Last Name

Gender

Male

Female

Birthdate

Email Address

Phone Number

II. Education Information

Major

III. Discipleship Information

As a part of Discipleship, you will participate in a discipleship group led by a Wesley Intern. We ask that you commit to regularly attending your weekly discipleship group.

You will be contacted with the name & contact information of your group leader.

Below are a couple of questions that will help us to place you in a group. All information is confidential.

What are you expecting from being a part of Discipleship?

Briefly describe your current relationship with the Lord.

Have you been discipled as a part of Wesley before? If so, who was your discipler? Would you like to be with them again?

Tell us a little bit about yourself! (interests, hobbies, passions, etc.) Anything that would help us place you with the best fitting group.

IV. Parent/Guardian Information

Parent /Guardian First Name

Parent/Guardian Last Name

Second Parent/Guardian First Name

Second Parent/Guardian Last Name

Parent/Guardian Address

City

State

Zip Code

Parent/Guardian Email Address

Second Parent/Guardian Email Address

Parent/Guardian Phone Number

Thanks for joining us! We will be in contact with you. We're glad you're a part of our discipleship program!

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