Catholic Newman Community at the University of Rochester

Name: *

First Name

Last Name

Affiliation: *

Class Year:

Address: *

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Email: *

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Describe why you are interested in becoming a Stephen Minister: *

What Spiritual gifts or strengths do you believe God has given you that would help you serve effectively as a Stephen Minister? *

In what ways do you think you would benefit personally from your training and service as a Stephen Minister? *

Based on your current understanding of what it means to be a Stephen Minister, what do you think would be difficult or challenging aspects of this role for you? *

How would people who know you describe the way you relate to others? *

Are you willing to commit to serve faithfully for a period of two years? This commitment includes initial training, regular visits with your care receiver and Small Group Peer Supervision: *

What changes would you need to make in your life to fulfill this commitment? *

Describe briefly your relationship with God: *

Please read and sign below.

The information I have provided in this application is true and complete to the best of my knowledge. I agree to participate in Stephen Ministry training, in Small Group Peer Supervision, and to function within the boundaries of Stephen Ministry as adopted by my Newman Catholic Community. I give permission for a Stephen Leader, if it deems necessary, to call my references, secure background check on me, and request a letter of recommendation from a health care provider.

Electronic Signature: *

Please insert your full name that will constitute your signature

Date of Signing: *

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Stephen Minister Application

Please read and sign below.