In order to finish the registration process, please complete this participant application form. This helps our team to place you in a small group that best suits you. This application is confidential and only viewed by our team. Please be as accurate as you can while answering the following questions. Thank you!
SLW Workshop Location & Name
SLW 2.5 Day Intensive. Westmeadows VIC
SLW 3.5 Day Intensive, Albany WA
If you are unsure, please contact email@example.com
Preferred contact email:
Street Address Line 2
State / Province
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
Central African Republic
Cocos (Keeling) Islands
Democratic Republic of the Congo
Turkish Republic of Northern Cyprus
Papua New Guinea
Republic of the Congo
Saint Kitts and Nevis
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
Tristan da Cunha
Turks and Caicos Islands
United Arab Emirates
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Do you currently attend a church?
Home church name:
Years you've been a Christian
1.0 Why do you want to participate in this workshop? (Select the 2 that most apply):
I want healthier relationships in my life.
I want to prepare myself for a good marriage
My boyfriend/girlfriend , friend or family member told me to go.
I want to grow in my ability to relate to the opposite sex.
I want to learn how to be open and vulnerable
I want to work on specific areas of brokenness within myself
I just want more of God and His view of relationships
I don’t know why.
1.1 Optional Comment:
2.0 Which statement best represents you?
a. I regularly share the deeper and more intimate parts of my life with those I trust.
b. I share most of my life with those around me, but there are some things I haven’t been open about.
c. I don’t share much of the deeper and more intimate parts of my life very often
d. I almost never share the deeper and more intimate parts of my life.
2.1 Optional Comment:
3. Which statement best describes your current spiritual state?
a. I love God and currently have a close relationship with Him.
b. I love God but I sometimes struggle in my spiritual life.
c. I know God but don’t have much of a relationship with Him.
d. I don’t really know God but I would like to.
e. I don’t want a relationship with God.
3.1 Optional Comment:
4. Which statement best describes your current emotional state?
a. I am excited and loving life.
b. I am doing all right - I have about the same amount of “ups” as “downs”.
c. I am in a very difficult and distressed time in my life.
d. I feel hopeless, depressed and isolated most of the time.
4.1 Optional Comment:
5. Which of the following best describes the area of greatest need in your life? (Select the 2 that most apply):
a. I want to better know how to communicate my feelings
b. I want to relate with those around me and have community.
c. I am dealing with or recovering from addictions.
d. I want to know what healthy relationships look like
e. I’m not sure what it is, I just know something is missing.
f. I want to hear from God and be better connected to Him spiritual.
g. God is doing so much n e and I just want more of Him.
h. I want to be able to take risks and face my fears.
i. I want to know about God’s idea of sex and how to steward my sexuality wellwhile being single.
j. I lack confidence and don’t know how to relate with the opposite sex.
5.1 Optional Comment:
6. How would you feel about being chosen to co-facilitate a small group?
a. I love to facilitate people to hear from the Lord and support them.
b. I love to encourage and strengthen people so I would like to facilitate.
c. People seem to naturally open up to me and I am a good listener, so I would liketo facilitate.
d. I would be willing, but I’m a bit hesitant.
e. I don’t want to facilitate at this time.
6.1 Optional Comment:
7. Have you previously attended a Single Life Workshop?
8. Have you attended a Nothing Hidden Ministries Spirit Connection Training?
9. Is English you first language?
9.1. If no, please indicate what language you speak at home and from 0 being not at all - 10 excellent, how fluent is your english:
10. Do you have any family members attending this workshop?
10.1. If yes, please list their name(s) below:
Full name(s) of family members attending this workshop. Separate each name with a comma.
11. Are you dating someone who is also attending this workshop?
11.1. If yes, please indicate their full name below:
Full name of boyfriend/girlfriend attending this workshop
12. How did you hear about us?
b. social media (Facebook, Instagram, Twitter, Periscope)
12.1. If Other, please indicate below:
Where did you hear about Single Life Workshop?
Should be Empty: