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Stephen Minister Application

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Documents
- Stephen Minister Application (PDF)

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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email Please enter an email address.
- 1. Describe why you are interested in becoming a Stephen Minister. REQUIRED Please fill out this field.
- 2. What spiritual gifts or strengths do you believe God has given you that would help you serve effectively as a Stephen Minister? REQUIRED Please fill out this field.
- 3. In what ways do you think you would benefit personally from your training and service as a Stephen Minister? REQUIRED Please fill out this field.
- 4. 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? REQUIRED Please fill out this field.
- 5. How would people who know you describe the way you relate to others? REQUIRED Please fill out this field.
- Commitment
  
  #6. Are you willing to commit to serve faithfully for a period of no less than two years? REQUIRED Yes No Please fill out this field.
- requirements
  
  the initial 50 hours of training;
  
  regular visits to your care receiver (weekly or a mutually agreed-upon frequency); and
  
  twice-monthly Small Group Peer Supervision.
- What changes would you need to make in your life in order to fulfill this commitment? REQUIRED Please fill out this field.
- 7. Describe briefly your relationship with Jesus Christ. REQUIRED Please fill out this field.
- 8. References REQUIRED Please fill out this field.
  
  Reference 1
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Reference 2
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
  
  Reference 3
  
  Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Relationship REQUIRED Please fill out this field. Please enter valid data.
  
  Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- 9. Have you ever trained and served as a Stephen Minister or Stephen Leader at another congregation? REQUIRED Yes No Please fill out this field.
- 9a. If yes, please list where and when and please include the name and telephone number of a pastor and/or Stephen Leader there whom we can contact.
- 10. Have you ever received treatment for any emotional or psychiatric problems? REQUIRED Yes No Please fill out this field.
- If yes, someone from the Stephen Leader Team will speak with you about this so that the team may better understand its significance in your life and ministry. [Note: A great many caregivers have been made stronger in their caregiving ministry through the care they themselves have received, including care from mental health professionals. Your Stephen Leader Team affirms the work of mental health professionals, who have helped many individuals to experience growth and healing. Members of the Stephen Leader Team request this information because they want to be as fully informed as possible about their Stephen Ministers.]
- 11. Have you ever been charged with a crime? REQUIRED Yes No Please fill out this field.
- If yes, explain in detail, using additional paper as needed. Someone from the Stephen Leader Team will speak with you about this so that the team may better understand its significance in your life and ministry.
- Please read and agree 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 and in Small Group Peer Supervision and to function within the boundaries of Stephen Ministry as adopted by my congregation/organization. I give permission for the congregation/organization, if it deems necessary, to call my references, secure a police background check on me, and consult with the treating physician(s) or other mental health professionals regarding the nature of any treatment I have received for emotional or psychiatric problems.
  I Agree Please select this field.
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St. Clare of Montefalco Parish

A Catholic Community in
Detroit and Grosse Pointe Park, MI USA

Stephen Minister Application

Documents