Good Neighbor initiative

Apply

I AM APPLYING AS

Individual

Family

Small Group/Sunday School Class

NAME

First Name

Last Name

FAMILY

If you are an individual or family, please list the names and ages of all of those living in your home. Anyone over the age of 18 will be required to consent to a background check.

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

MOBILE

(###)

###

####

SPOUSE MOBILE

(###)

###

####

EMAIL ADDRESS

BACKGROUND CHECK

I certify that I am the head of my household and will share the results of my background check with The Good Neighbor Initiative Team.

I am not the head of household. I understand that a background check must be completed by the head of my household and shared withThe Good Neighbor Initiative Team before I am approved for the Good Neighbor Initiative.

I AM AN ACTIVE CHURCH MEMBER AT

MY PASTORS NAME

If you attend a larger church, please provide the name of a pastor with whom you have a personal relationship. ie: This does NOT have to be your Senior/Lead Pastor.

NATIONALITY REQUEST

Please indicate if you have a preference on the nationality of the refugee family to whom you would be matched. Although we will do our best to honor your request, there is no guarantee this will be possible.

ADDITIONAL NOTES

Report On Your Last Contact

NAME

First Name

Last Name

MY NEIGHBORS NAME

First Name

Last Name

REFUGEES ADDRESS

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

I LAST MET WITH MY NEIGHBOR ON

YYYY

TELL US ABOUT IT

HOW CAN WE BE PRAYING FOR YOU