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Stephen Minister Application
Name:
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First Name
Last Name
Affiliation:
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select one
Alumni
Friend
Graduate Student
Local Resident
Parent
Parent of Alumni
Undergraduate
Class Year:
Address:
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Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Email:
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Verify Email
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Mobile Phone:
Describe why you are interested in becoming a Stephen Minister:
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What Spiritual gifts or strengths do you believe God has given you that would help you serve effectively as a Stephen Minister?
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In what ways do you think you would benefit personally from your training and service as a Stephen Minister?
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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?
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How would people who know you describe the way you relate to others?
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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:
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select one
Yes
No
What changes would you need to make in your life to fulfill this commitment?
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Describe briefly your relationship with God:
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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:
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Please insert your full name that will constitute your signature
Date of Signing:
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(mm/dd/yyyy)