Personal Information

---

Nominee Info

First Name

First Name is required.

Last Name

Last Name is required.

Home Group

Home Group is required.

Sphere

Sphere is required.

Is this person currently a Home Church Leader?

No Yes

Is this person currently a Home Church Leader? is required.

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

First Name of Nominator is required.

Last Name of Nominator

Last Name of Nominator is required.

Nominator Email Address

Email address is not valid

Nominator Email Address is required.

Your ministry involvement with the nominee:

Your ministry involvement with the nominee: is required.

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

Yes No Not Sure

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

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

Yes No Not Sure

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

Discipleship

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

No Yes

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

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.