NJC Leader Information Form

Please complete the form below:

Title	*
First Name	*
Middle Name
Last Name	*
Marital Status	*

Cell Number
Email Address	*

Primary Ministry	*
Other
Secondary Ministry (.ies)
Other

Sunday Worship - Campus Attendance	*
Sunday Bible Study - Class	*

Wednesday Bible Study - Campus Attendance	*
Wednesday Bible Study - Class	*

Spiritual Gift (s) - If Known	*

Title	*
Spouse First Name
Spouse Middle Name
Spouse Last Name

Child First Name - Under 18
Child Middle Name - Under 18
Child Last Name - Under 18
Gender
Age

Child First Name - Under 18
Child Middle Name - Under 18
Child Last Name - Under 18
Gender
Age

Child First Name - Under 18
Child Middle Name - Under 18
Child Last Name - Under 18
Gender
Age

Child First Name - Under 18
Child Middle Name - Under 18
Child Last Name - Under 18
Gender
Age

Child First Name - Under 18
Child Middle Name - Under 18
Child Last Name - Under 18
Gender
Age

How long have you been a member of NJC?