Parkway Baptist Church - VA

PARKWAY FAMILY, JOIN US SUNDAY AT 8:00AM, 9:30AM, AND 11:00AM

Student Leadership Form

Student First Name

Student Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Student Email

Student Phone Number

Parent Contact

First Name

Last Name

Parent Email

Parent Phone Number

Spiritual Growth

Give a brief Testimony, including your Salvation Experience

Have you been or are you being personally discipled?

Yes

Have you personally discipled someone else?

Yes

Do you regularly share your faith?

Yes

Describe your relationship with Christ over the last 3-6 months:

Describe any service or missions projects you have participated in:

List the Spiritual Gifts that you think you have:

Ministry Experience

Have you ever led or taught a small group?

Yes

Have you played in a band or led worship?

Yes

Have you ever led rec or games?

Yes

Describe any other ministry experience:

Personal Life

Name of High School:

List activities/clubs/ministries currently involved in:

Do you have a job?

Yes

If yes, where and when do you typically work?

As of today, what are your career goals?

Describe your relationship with your parents recently:

Do you have any social media?

Yes

If yes, please list what platforms you are on.

Have you ever been convicted of a crime?

Yes

If yes, what?

I certify that all the information above is correct.

Yes

Signature

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Student Leadership Form

Parent Contact

Personal Information

Spiritual Growth

Ministry Experience

Personal Life