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Women’s Discipleship Form
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WA
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Cell
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Season of Life
Blended Families
College Age
Empty Nest
Grandfamily (raising grandchildren)
Parent of Teens
School-Age Family
Senior Adults
Single 40+
Young Adult
Young Family
Young Married
Other
I am interested in being a...
Discipler
Disciple
Marital Status
Single
Married
Separated
Divorced
Widowed
Do you have Children?
No
Yes
Congregation you attend at Fellowship
Fellowship Rogers
Fellowship Fayetteville
Fellowship Bentonville
Fellowship Mosaic
Home Church (if not Fellowship)
Occupation
Full or Part Time?
Full Time
Part Time
How often would you like to meet?
When are you available?
What are your interests?
What are your talents?
Educational Background
Please tell us the details that led you to put your trust and faith in Christ, if you have.
What caused you to want to be in a discipleship relationship?
Describe your personality
Please indicate your strengths
In what areas do you feel you could be a resource to another woman?
Have you experienced unique/special family or life situations that would be useful for us to know in matching you with a woman who might have had similar experiences?
What life transitions (positive or negative) could you encourage someone else through?
Infidelity/Separation/Divorce
Healing after abortion
Loss of child
Loss of spouse
Loss of parent
Loss of job
Questioning my faith
Financial freedom
Other
What else would you like to share with us?
Submit