g-Force application

Please fill out the online application below and one of the members of our G-Force committee will be in touch with you.

Please note that the online form cannot be saved. If you are unable to complete the form in one sitting, need assistance in filling out the form, or if you prefer to fill in the form offline, please use the link below to download a PDF version of the application. Once completed please print, sign and return the form to the WMBC office or you may also email your completed form to gforce@winklermb.com.

G-Force Application

Personal Information

(if applicable)
(123) 456-6780
(123) 456-6780
(123) 456-6780
We are looking forward to our time with you! We view it as a time to get to know you and what is happening in your life. Our goal is to try to connect you with resources and/or resource providers, give you some encouragement, and possibly provide you with new ideas or perspectives to apply to your current situation.

We know that there is so much more to you than the struggle you are having right now. We also know that a struggle in one area of our lives is connected to other areas in our lives. The following questions are designed to explore some of these areas. Please take the time to think about and write out answers to these questions so that both you and the volunteer/staff person you meet with will have a broader picture of what is happening in your life.

Current Situation

Emotional Physical and Relational


Growth and Self Development