Stephen Minister Discernment Form Name First Last Address Street Address Address Line 2 City State ZIP PhoneEmail 1. Why are you interested in becoming a Stephen Minister?2. What spiritual gifts or strengths do you believe God has given you that would help you serve effectively as a Stephen Minister?3. How do you think you would benefit from your training and service as a Stephen Minister?4. Based on your current understanding of what it means to be a Stephen Minister, what do you think would be challenging for you?5. How would people who know you describe the way you relate to others?6. Are you willing to commit to serve faithfully for a period of no less than two years? This includes: the initial 50 hours of training; regular visits to your care receiver (weekly or a mutually agreed-upon frequency); and twice-monthly Small Group Peer Supervision? Yes No SignaturePlease click on circle icon at bottom right to engage stylus.