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 Birthdate
List the name of your children, their ages and birthdates
Evaluation: 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?*

Service Times, Sundays | 9:30am & 11:00am

1066 E. Aurora Rd. Macedonia, Ohio 44056 | 330-467-7436