Fit Assessment Application


All information shared in this application is strictly confidential and seen only by the Fit Assessment intake team and necessary Discovery Center staff. For any question or concerns you have in completing the intake form, please reach out directly to Stu Streeter (sstreeter@nabconf.org).

To ensure your information is saved, only use the Next and Previous buttons to navigate the form, and don’t close out this browser window until you have finished all seven pages.

Fit Assessment Application

Step 1 of 7

Select date MM slash DD slash YYYY

Contact Information

Name(Required)
Street/Mailing Address:(Required)

Personal/Family Information

MM slash DD slash YYYY
Present Church Name and Address(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY
Have you ever been divorced?(Required)
MM slash DD slash YYYY
Has your spouse ever been divorced?
MM slash DD slash YYYY

Children

MM slash DD slash YYYY
MM slash DD slash YYYY
Dependent
MM slash DD slash YYYY
Dependent
MM slash DD slash YYYY
Dependent
MM slash DD slash YYYY
Dependent
MM slash DD slash YYYY
Dependent
Are you expecting a child?(Required)
MM slash DD slash YYYY
Are you bilingual?(Required)
Is your spouse bilingual?

Current Salary and Benefits:

$ Amount per year
$ Amount per year
$ Amount per year
Do these salary and benefits meet your needs?(Required)