The Life House

CENSUS 2026

First Name

Last Name

Cell Phone

Birthday

Mailing Address

When is your wedding anniversary? (If not applicable for you, simply put N/A.)

Full Name and Cell Phone Number of your EMERGENCY CONTACT.

Do you have children who attend The Life House? If so, share their NAME(s) and AGE(s). If not, just say "N/A"

Formal & Informal Training (Trade, College Major, Certifications, etc.)

Work & Volunteer History

Passions, Hobbies & Interests

What are your areas of strength?

In what ways does GOD want to grow and stretch you?

What are your goals for 2026? Please be specific.