Deeper Still Team Application

Deeper Still Team Application

Deeper Still is a program that conducts biblical healing retreats for those who have an abortion in their past. This is a confidential Intake Form that is useful for us to know best how to prepare for you and to facilitate a retreat that will meet your needs.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone

Area CodePhone Number
DOB:
Email
example@example.com
Emergency Contact

First NameLast Name
Phone Number of Emergency Contact

Area CodePhone Number
Emergency Contact Relationship
Church
1. Please explain why you feel drawn to serve in the Deeper Still ministry.
2. Have you completed a Deeper Still Training? If so, where and when?
3. Have you ever served on a Deeper Still Ministry Team? If so, where and when?
4. Where do you attend worship/church? Do you have community and relationships within your church where you feel "known", "supported" and "challenged" to grow? Briefly explain.
MinimalModerateExtensive
6. What is your comfort level in sharing the Gospel message? This is explaining how a person can be saved and receive Christ as their personal Lord and Savior.
7. How would you describe your spiritual gifts and abilities? What ministry outreaches have you served in where you've used your spiritual gifts?
8. Have you have ever served on some other ministry team in the past? If so, please share what you enjoyed the most. Please also share what was the most challenging.
9. Have you ever had an abortion? If so, please share where you feel you are in your healing journey and if you've ever received any help in dealing with your abortion. Please list any specific healing ministries (Deeper Still, Rachel's Vineyard, Surrendering the Secret, Forgiven and Set Free, etc.) where you have completed their program. Please explain.
10. Have you been the victim of trauma (abortion is a form of trauma) in the past? This could be physically, emotionally, or sexually. (Indicating yes to this question does not disqualify you from serving; many of us have some form of trauma in our past.) If yes, please explain.
11. What type of healing have you received from your traumatic events?
12. Have you had any additional healing through ministries such as Bondage Breakers, Freedom in Christ, Restoring the Foundations, etc.? Please explain.
***Depending on the number of participants, not every team member is asked to serve at every retreat. If you are interested in serving on the retreat team, it requires a commitment to be available for the entire retreat. The team arrives at the retreat center Thursday afternoon to set up and we conclude Sunday afternoon between 3-4pm. This is AFTER we have disassembled and packed up. We realize this is a huge commitment of time. That is why it requires your spouse to be fully supportive.
13. If you are called to serve onsite at the retreat, do you have assurance that your spouse is supportive of this large time commitment?
Hosting a table for our fundraising banquetServing on our onsite or offsite WOW (Watchman on the Wall) intercessory prayer teamMaking cards (Each participant receives 2 handmade cards for encouragement)Cooking/baking for our retreatsSinging and/or playing an instrument/helping with praise and worshipWriting/public speakingCarpentry/CraftsmanWeb design/Technologically savvy/designing Deeper Still newslettersHosting a participant overnight, either before or after the retreatProviding transportation for participantsAssorted crafting projects, sewing, quilting, etc.
Please list any additional talents you could share with the Deeper Still ministry.
Special health or dietary considerations
Allergies
References: (Please contact your references and tell them that DSNI will be contacting them)

Pastor:
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Professional/Ministry contact:
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Friend:
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
By my signature below, I am certifying that all of the information provided on this appliication is truthful and correct to the best of my knowledge, and that Deeper Still Northern Indiana has my permission to contact references provided.
Signature
Date
Should be Empty: