Single Life Workshop Application 2024 • Fire Church Ministries Inc.

Select Location: *

First Name *

Last Name *

Gender *

Date of Birth *

Email Address *

Mobile Number *

Home Address *

Home Suburb *

Home State *

Home Postcode *

Home Country *

Do you currently attend a church? *

Home Church Name:

How many years have you been a Christian? *

Should this workshop offer catering or partial meals, please indicate any dietary requirements below: *

Tip: (If not applicable, please type "N/A" in the field)

1.0 Why do you want to participate in this workshop? (Select the 2 that most apply): *

I want healthier relationships in my life

I want to prepare myself for a good marriage

My boyfriend/girlfriend, friend or family member told me to go

I want to grow in my ability to relate to the opposite sex.

I want to learn how to be open and vulnerable

I want to work on specific areas of brokenness within myself

I just want more of God and His view of relationships

I don't know why

1.1 Optional Comment

2.0 Which statement best represents you? *

a. I regularly share the deeper and more intimate parts of my life with those I trust

b. I share most of my life with those around me, but there are some things I havent been open about

c. I dont share much of the deeper and more intimate parts of my life very often

d. I almost never share the deeper and more intimate parts of my life

2.1 Optional Comment:

3.0 Which statement best describes your current spiritual state? *

3.1 Optional Comment:

4.0 Which statement best describes your current emotional state? *

a. I am excited and loving life

b. I am doing all right - I have about the same amount of ups as downs

c. I am in a very difficult and distressed time in my life

d. I feel hopeless, depressed and isolated most of the time

4.1 Optional Comment:

5.0 Which of the following best describes the area of greatest need in your life? (Select the 2 that most apply): *

5.1 Optional Comment:

6.0 How would you feel about being chosen to co-facilitate a small group? *

a. I love to facilitate people to hear from the Lord and support them

b. I love to encourage and strengthen people so I would like to facilitate

c. People seem to naturally open up to me and I am a good listener, so I would like to facilitate

d. I would be willing, but I'm a bit hesitant

e. I dont want to facilitate at this time

6.1 Optional Comment:

7.0 Have you previously attended a Single Life Workshop? *

Yes

No

8.0 Have you attended a Nothing Hidden Ministries Spirit Connection Training? *

Yes

No

9.0 Is English you first language? *

Yes

No

9.1. If no, please indicate what language you speak at home and from 0 being not at all - 10 excellent, how fluent is your English: *

Tip: If you answered 'yes' to the previous question, please type 'N/A' in the text field above

10.0 Do you have any family members attending this workshop? *

Yes

No

10.1. If yes, please list their full name(s) below. Please separate their names using a comma: *

Tip: If you answered 'no' to the previous question, please type 'N/A' in the text field above

11.0 What is your current relationship status? *

11.1 Are you dating someone who is also attending this workshop? *

Yes

No

11.2. If yes, please indicate their full name below: *

Tip: If you answered 'no' to the previous question, please type 'N/A' in the text field above

12.0 How did you hear about us? *

12.1. If Other, please indicate below:

Instructions:

Single Life Workshop Location:

Participant Details

Food Restrictions & Allergies

Participant Quenstionnaire