CONSULTATION WORKSHEET
Name:		Date of Birth:
Address: (Is this a new address? --Yes -- No)		Email: Home Phone: Work Phone: Cell Phone:
Marital Status:		Occupation:
Number of Children:		Ages of Children:
Membership Status:		Congregation/Small Group:
Present Ministry Involvement at Crossroads Fellowship:		Present ministry involvement outside of Crossroads Fellowship:
Spiritual gifts (please list top three gifts): 1- 2- 3-		Personality Type (please list letters that appear above the line on the DISC graph):
What I Am Going to Do to Connect (build relationships), Grow (learn about God) and Serve (help others)
Sample Action Steps Connect (Build Relationships) Attend a Sunday AM Class Attend a mid-week on-campus small group or class Attend an off-campus small group or ministry team Join the church Grow (Learn About God): Complete a Discover Discipleship Study Complete an Establish Discipleship Study Complete a Grow or Reach-out Discipleship Study Serve (Help Others) Accept a “First Serve” Assignment Volunteer for an on-going service role Serve others in your neighborhood/ workplace or lead/direct a ministry		Action Steps for Individual: Connect: ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Grow: ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ Serve: ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________
Name of Consultant:	Date Assigned:		Date Completed:
White - Consultant Yellow - Assimilation Office Pink – Individual