APPLICATION & EVALUATION FORM Name* First Last Date* Email* Address (Street, City, Zip)*Phone*Birth Date* Occupation and place of employment or school*Who/What first brought you to Western Reserve?*Briefly tell when and how you received Jesus Christ into your life as Savior and Lord*Why have you chosen Western Reserve as the place you want to call your spiritual home?*Why do you desire to become a Stakeholder?*What excites you most about becoming a WR Stakeholder?*Have you been baptized as a believer? If yes, when and how old were you?*Spouse Name (if applicable) and BirthdateList the name of your children, their ages and birthdatesEvaluation: Was the class material clear and concise? (If not, how can we make it better?)*Evaluation: After completing the Discovery Process, are you able to communicate the mission and vision of Western Reserve to those who may ask?*Evaluation: In your opinion, how efficient was the Stakeholder Discovery process? What things might we consider changing or adding to make it better?*Evaluation: In your opinion, how can we make the class time more engaging?*Sundays | 10:00am1066 E. Aurora Rd. Macedonia, Ohio 44056 | 330-467-7436FollowFollow