Salt Company Discipler Application - Citylight Church Omaha

Your name *

Email address *

Please briefly explain why you want to be a Salt Company Discipler. *

Do you have experience discipling? In what capacity? *

When will you be available to start discipling? *

Please check the following if any apply to you:

Have been convicted of a felony or misdemeanor

Have felony or misdemeanor charges pending

Are using or have previously used narcotics, hallucinogens , and/or drugs not prescribed by a physician

Have been involved in any incidents of child abuse

If you checked any of the above boxes, please explain:

As a college ministry, we sometimes overlap with minors. In order to become a mentor, we will require background checks. Will you comply with this requirement? *

Yes

Church Involvement

Citylight Church is a people whose mission is to make disciples of Jesus that make disciples and plant churches. Because of the unique nature of our ministry, we require that our mentors be a part of a faith community. Please answer the following questions about your faith community.

Are you presently attending Citylight Church? *

Yes

Have you volunteered/served with Citylight Church previously? If yes, please specify in what capacity. *

Briefly describe how you became a follower of Jesus. *

What is the Gospel? How has the gospel impacted you recently? *

If you were to die today, do you believe you would go to heaven? Why? *

What are your regular devotional habits or spiritual disciplines? *

What is discipleship? How has discipleship shaped you? *

Discipler Interests and Background

The following section will be based on your personal life and background! What are you passionate about? What hobbies or interests do you have that a student could connect with? Below are some options to help you get the ball rolling.

Which of these fields are you interested in? *

Please select all that could connect you with a student on a personal level.

Sports/Athletics

Outdoor Activities

Music

Arts/Creativity

Tech and Gaming

Travel/Culture

Reading/Learning

Food/Cooking

Other

Briefly explain your top hobbies and interests.

Did you get a college degree? If so, what did you major in?

Are you employed? If so, what field are you in? *

Please use the following space to give a “snapshot summary” of who you are beyond what can be learned from the information you have provided on this application. This will be used to help match you with a student

References

Please give us two contacts from Citylight staff or your Citygroup who could vouch for the information above and provide any additional insight we may require.

Name, Relation, Phone, Email *

Name, Relation, Phone, Email

Next Steps

We may need to set up a short interview with you to discern the next steps before matching with a student; what are some good 30 min windows that typically work for you?

Please let us know a few good times to set up a 30-min interview! *

Church Involvement

Spiritual Journey

Discipler Interests and Background

References

Next Steps