Discipleship Pathways Form - Placentia Presbyterian Church

About You

Would you consider yourself…

What are you looking for? (Choose all that apply)

Similar Age/Stage of Life Group

Diverse Age/Stage of Life Group

Basic Bible Study

Biblical/Theological Study

A Small Group of Mutual Life Support (Christian Friendships)

A Mentor (A wise Person who will help you through life)

A Mentee (Someone you help through life)

Service Opportunities

How to Tell Others About Jesus

Spirituality and Aging

Marriage Tools

Parenting Tools

Spiritual Growth Tools

Trauma Support (Addiction, Death, Abuse, Other Trauma)

Kids' Ministry for My Kid(s)

Youth Ministry for my Middle School or High School Student(s)

Other

If you chose "other", please explain.

What season of life are you in? (Choose all that apply)

Parent

Middle School

High School

College

Early Career

Employed

Retired

Unemployed – Looking for Work

Unemployed – Not Looking For Work

Food/Housing Insecure

Isolated from Family

Past Church Trauma

Just Moved Here/Back

Other

If you chose "other", tell us anything else you'd like us to know about you.

Availability

What times work best for your schedule to IN-PERSON meet with others? (Choose all that apply)

Weekdays (Monday – Friday AM)

Weekends (Friday PM – Sunday)

Monday

Tuesday

Wednesday

Thursday

Friday

Before Work Hours (Before 8AM)

After Work Hours (After 6PM)

Daytime

Nighttime

My Schedule Varies

I Can Be Flexible With My Schedule

What times work best for your schedule to VIRTUALLY meet with others? (Choose all that apply)

Weekdays (Monday – Friday AM)

Weekends (Friday PM – Sunday)

Monday

Tuesday

Wednesday

Thursday

Friday

Before Work Hours (Before 8AM)

After Work Hours (After 6PM)

Daytime

Nighttime

My Schedule Varies

I Can Be Flexible With My Schedule

Do you have any special requests to make physically attending accessible? (Check all that apply)

Infant Childcare

Preschool – 2nd Grade Childcare

3rd – 6th Childcare

Youth Programs

Transportation

Night Transportation

Physical Limitations

Other

If you chose "other", please explain.

Is there anything else you’d like us to know?