Full Name*

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E-mail*

Phone Number*

Area Code Phone Number

Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

If your were referred by someone, please let us know by whom

Are you prepared to provide the necessary information to allow us to complete the above checks?*

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Our doctrinal statement can be found in our Constitution as is summarized at Our Core Beliefs for you to review.

Are you in complete agreement with them?*

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If you answered no to the above question, please explain why.

What is your highest level of education?*

What is the largest church of which you’ve been a pastor?*

How frequently have you preached on Sunday mornings?*

Every week Once a month Regularly Special Occasions only

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