Club Team Application

Our Club Teams across the state of Texas go on our monthly outreach, connect with club employees, and meet with club employees regularly. Monthly commitment is about 6 -12 hours. 

Name of Club Team Applicant *
Name of Club Team Applicant
Phone *
Phone
Date of birth *
Date of birth
Do you attend church? *
What is your relationship status? *
Have you ever been to jail? *
Have you ever been convicted of a crime? *
Do or have you struggled with any of the following? *
Have you been medicated for any of the above issues? *
Do you struggle with pornography? *
If you were not able to serve on Club Team, where would you most want to serve with JSL? *
Reference #1 Phone *
Reference #1 Phone
Reference #2 Phone *
Reference #2 Phone