180 Weekend Host/ Co- Host Home Application 2026

Oneighty Weekend Host/ Co- Host Home

Thank you for taking the time to share with us about you. We want you to know that the following information will be confidential and only shared with appropriate pastoral staff that we deem necessary.
Important Notice

Please note that this is simply an expression of interest in being a host home. While we are working very hard to accommodate everyone's request it is not 100% guaranteed you will receive the group you requested. // For an example. If the senior girls are requested by their life group leader, the life group leader would have precedence over anyone else. Or if 4 homes want the 6th grade boys, ha! Then we would only be able to give that to the first homes to request. Please know we would love for you to be able to host any home if any of these scenarios took place! We would love to work through that with you.
General Information
Full Name*

First NameMiddle NameLast Name
Date*

MonthDayYear
Date
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Phone Number*

Area CodePhone Number
Marital Status:*

SingleMarried
Spouse's name
Personal
Please write a brief testimony about how and when you became a Christian*
How long have you attended FBC Wichita Falls?*
Are you a member of FBC Wichita Falls?*

YesNo
Legal/Lifestyle
In caring for students, we believe it is our responsibility to seek an adult staff that is able to provide healthy, safe and loving relationships. Any special concerns can be discussed individually with the staff.
Are you using illegal drugs?*

YesNo
Have you ever gone through treatment for alcohol or drug use?*

YesNo
If yes, please describe:
Have you ever been arrested and/or convicted of a crime?*

YesNo
If yes, please describe:
Have you had any sexual relations with any minor after you became an adult?*

YesNo
Have you ever been accused of or convicted of any form of child abuse?*

YesNo
If yes, please describe:
Do you consent to a background check? (FBCWF requires all volunteers and staff that work with minors to have up to date background checks)*

YesNo

For anyone 18 or over staying in your home, we will need a background check. By filling out info below, you are consenting to the people in your home getting a background check*

	Full Name	Birth Date
Person 1 (spouse)
Person 2
Person 3
Person 4
Person 5

Host / Co-Host
Are you wanting to be a host or co-host?*

HostCo-Host
Level(s) of group you'd like to work with? (we will do our best to match you request, but cannot guarantee and assignments)*
Covenant
Because of our commitment to Christ, ourchurch, and our students, are you also willing to commit to personal Biblestudy and prayer, live in such a way as not to be a stumbling block to others,be regular and punctual in your attendance, help maintain a safe environment,submit to FBC staff and leadership, be flexible and cooperative to changes, andbe willing to remove yourself from this leadership position if you should failto uphold these standards?*

YesNo
The information contained in this application is correct to the best of my knowledge. I, undersigned, give my authorization to First Baptist Church, or its representatives, to release any and all records or information relating to working with minors. The church may contact my references and appropriate government agencies as deemed necessary in order to verify my suitability as a student ministry leader.

I understand that the personal information will be held confidential by the professional Church Staff.
E-Signature*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty:

Oneighty Weekend Host/ Co- Host Home

Important Notice

General Information

Personal

Legal/Lifestyle

Host / Co-Host

Covenant