First Name (required)
Life Group Name
Name of Organization/Ministry where you Served (if applicable)
Service Opportunity (What did you do?)
Length of Time Served (in hours)
Number of People Served
Last Name (required)
I serve my group as our:
Facilitator/LeaderCoordinatorMission Liaison
Date Served (required)
How many life group members participated?
Was the Gospel shared?
Number of Salvations (if applicable)
Additional Comments