House Church Interest Form (The Rock Website)

Certified House Church Interest Form

Please answer all of the questions below, one per House Church.
Your Name *

First Name Last Name
If married, will your spouse be leading with you? *

Yes No N/A
What is your marital status? *

Single Married
Your Spouse's Name (if married)

First Name Last Name
Best Phone Number *

Area Code Phone Number
Best Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
County *
(LA, OC, San Bernardino, Riverside, etc.)
City, State, & Country of your House Church *
Date of Birth *

Month Day Year
Date
Why are you interested in leading a House Church? *
Have you ever led (or helped lead) a House Church or small group? *

Yes No
What language(s) do you speak? *
If married, is your spouse born again?
Have you ever gone through any levels of OSL? If so, please state which levels, where, and when. *
Are you currently a licensed minister? *

Yes, through The Foursquare Church (USA) Yes, through another religious organization No
If "Yes, through another religious organization," which organization?
Please tell us the NAME & CITY of the church you currently attend. *
What is the name of the Pastor of your current church?
Under which ministry will your House Church most likley be launched? *

The Rock - A Multi-Site Foursquare Church Solid Lives - An International Discipleship and Church Planting Ministry
Are you willing to attend a weekly House Church Leader Meeting in person or online? *

Yes No
Are you interested in being trained as a Pastor, Worship Leader, or other type of ministry leader through the BFAM Training Center? *

Yes No
Do you have any additional questions or comments?
Should be Empty:

Certified House Church Interest Form