Application Form

Please complete the below application form to particpate in the Hungry Hearts support group. We know it is long, but it helps us get an idea of where you are in your recovery and how we can best help you. After you submit this form we will be in touch to schedule a 1 hr in-person discuss to review your application.

Contact Info

Your Name(required)
Age(required)
Email(valid email required)
Home Phone
Cell Phone
Work Phone
Prefered Method of Contact

Clinical History

Please list past disordered eating behaviors (e.g. restricting/bingeing/purging, eating disorder diagnosis, body image distortions) and related mental health issues (e.g. depression, anxiety).
How many years did you struggle with these issues?
What type of professional help did you receive?
How many years would you consider yourself to be in successful recovery?

Church Involvement

Are you a regular attendee of McLean Bible Church (MBC)? If not, please provide your place of worship.
Are you a member of MBC? If so, how long have you been a member?
Do you currently attend a MBC small group? If so, how long have you been in the group?
What ways are you involved at MBC (or other church)?
List any leadership positions you hold at MBC (or other church).

SPECIAL SKILLS/MINISTRY TEAMS

Note: You did not have to personally struggle with disordered eating or body image issues to participate as a volunteer except for the Peer Coach position. Peer coashes must have had some personal experiences to be eligible for this position.
Support Group Team: Logistical support; manage support group applications and interviews; Peer Coach - supporting a woman in the support group; curriculum development
Resource Center Team: Respond to e-mails/phone calls with requests for information and referrals; updating referrals; encourage and pray with family memers/individuals struggling; collaborate with website developent team in increasing the resources and referrals on the website
Event Planning Team: Plan workshops (e.g. body image workshop), conferences, form speaker bank and book speakers as needed, event logistics, supporting support group ith logistics
Marketing/Volunteer Recruitment Team: Create advertisements for bulletin for support group and volunteers, organize volunteer applications and interviews; get volunteers connected to appropriate team; fundraising
Website Development Team: Build out current wesite with increased functionality, resources and graphics; work closely with all other teams to get inforation onto website and support their mission
Prayer Team: Commit to praying for those in the ministry.
Send a copy of application to me

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