Circles of Increase
Comodo Security Seal

    THIS IS A SECURED SITE   Columbus Christian Center Church respects your privacy and is committed to the
    security and confidentiality of your personal information.

    Please complete the profile as completely and accurately as possible. Fields marked with * are required.
    PLEASE DO NOT TYPE IN ALL CAPS

Your Identifying Information     !must be 13 or older to complete!

First Name*        MI        Last Name*        Maiden Name
Best Contact Phone Number*        May we contact you via phone, email, text messages, etc.?* Yes    No
Example Phone Number Format: 6142225555 - no dashes or parenthesis
Personal Email Address
Address*       Suite, Apt, etc.
City*     State*     Zip*
Gender* Male   Female                Marital Status* Married   Single   Divorced
Date of Birth   *    *    *

Spouse Information

Spouse Name      Is your spouse a member of CCC?Yes   No

Your Dependent Children Living in Your Household

CHILD 1 First Name       Last Name        Age        Gender Male   Female
CHILD 2 First Name       Last Name        Age        Gender Male   Female
CHILD 3 First Name       Last Name        Age        Gender Male   Female
CHILD 4 First Name       Last Name        Age        Gender Male   Female
CHILD 5 First Name       Last Name        Age        Gender Male   Female
CHILD 6 First Name       Last Name        Age        Gender Male   Female
CHILD 7 First Name       Last Name        Age        Gender Male   Female
CHILD 8 First Name       Last Name        Age        Gender Male   Female
CHILD 9 First Name       Last Name        Age        Gender Male   Female
CHILD 10 First Name       Last Name        Age        Gender Male   Female

Your Skills and Interests

Your Occupation or Profession
Additional Professional Training, if any
Are you involved in an area of ministry at CCC Church? Yes    No
Which ministry team(s) are you currently involved in, if any? What are your area(s) of interest in serving?
     Current Ministry Team 1
     Current Ministry Team 2
     Current Ministry Team 3
     Current Ministry Team 4
     Current Ministry Team 5 		     Area of Interest 1
     Area of Interest 2
     Area of Interest 3
     Area of Interest 4
     Area of Interest 5
Are you interested in being a Small Group facilitator? If yes, check all that apply.
     Circles of Increase      Increase Groups      Life Solutions
Have you completed the CCC membership class? Yes    No
Do you have at least five years of managerial experience? Yes    No
If you play any instruments, please enter them:
                    
                    
Would you like more information on:    Increase Groups? Yes   No       Life Solutions? Yes   No

Comodo Security Seal       

THIS IS A SECURED SITE
Start New Profile                  Circles of Increase Home