Valiant Man Facilitator

Application Form to Serve as a Facilitator with a Small Group of Men

Please complete the below form. If you are not comfortable answering these questions online and having a West Shore Free Church staff member pass them on to Scott Monday, Valiant Man leader, please instead print and complete this paper form. It can then be turned in to Scott via his church mailbox or a scanned copy can be emailed to him.

*First Name

*Last Name

*Email Address

*Phone Number

*Address Line 1

Address Line 2

*City

*State/Province/Region

*Zip/Postal Code

*Briefly share your testimony of faith if Jesus as your Lord and Savior.

*What has been your journey towards sexual integrity?

*What experiences have you had in leading a small group?

*Describe your interest in becoming a facilitator for the VALIANT MAN program.

Submit Form