Author: 
David Livingston
Date Given: 
June 28, 2009

Personal Information:

Name _____________________________________________

Started Discipling __________________________________

Home Phone ______________________________________

Work Phone ______________________________________

Cell Phone _______________________________________

Address _________________________________________

Received Christ __________________________________

Church _________________________________________

Employment ____________________________________

Birthday ________________________________________

Annivesary ______________________________________

Spouse ________________________________________

Children's Names & Birthdays ___________________

_______________________________________________

_______________________________________________

Disciple's Background:

Educational ____________________________________

Religious ______________________________________

Family ________________________________________

Previous Ministry Training ______________________

Previous Ministry Involvement __________________

Hobbies, Sports, Recreation ____________________

Other Information _____________________________

Disciple's Gifts:

Spiritual Gitfs __________________________________

Acquired Skills _________________________________

Natural Talents ________________________________

Disciple's Personal Goals

One Year _____________________________________

Two Year _____________________________________

Five Year _____________________________________

Lifetime ______________________________________

His or Her Disciples ____________________________

Current Ministry Involvement ___________________

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