Evangelistic Association Application Form

User Name:

Must be at least 4 characters long (Use only Alpha & Numeric text, with no spaces)
Make your username UNIQUE
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Password:

Must be at least 4 characters long (Use only Alpha & Numeric text, with no spaces)
Make your password UNIQUE
.

Password Again:

re-type the above password exactly as above!
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Full Name:

Example: John S. Doe

1. NO religious or educational titles.
2 Enter your Legal Name (If you name is Legally William do not enter Bill).
3. Do NOT use Initials i.e. W.B. Doe <- application will be declined!

............For more information CLICK HERE
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First Name:

Example: John
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Last Name:

Example: Doe
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Date of Birth:

MONTH	DAY	YEAR

Applicants must be 18 years or older.
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Gender:

Select from the box your gender (Male -or - Female)
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Address:

Mailing Address
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City:

Your city
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State / Province

U.S. or Canadian Applicants
Select from this box only if you live in the US or Canada.

.If you live outside the U.S. or Canada write your State/Province
.in this box -> ..

Postal Code:

Enter your Postal or Zip Code
..

Country:

Select your Nation/Country from the box above.

If your Country/Nation was NOT listed in the box above write in the Country in this box ->

Email:

IF you do not supply a valid email account where we can contact you regarding
your application - the application may be declined.
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Telephone:

Enter your Telephone number.
Your phone number is private and will not be displayed to the public.
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Web site:

If you have one..... otherwise leave blank.
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Yahoo Messenger ID:

If you have a Yahoo Messenger ID Enter it here

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Christian Religious Affiliation(s):

Example: Catholic, Baptist, Adventist etc.
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Ministry Specialties

Example:
Street Ministry, Music, Chaplain
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Hobbies / Notes

Example:
Music, Golf, Fishing, Hunting, Boating, etc...
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Enter your doctrinal statement of Christian beliefs in the box below:
Explain briefly your beliefs about:
Who and what God is?
Who and what is Jesus?
What the Bible means to you?
What is your belief about the Trinity and Deity mean?.
What are some of your other beliefs such as
(The state of the dead, Satan, Hell, Salvation, Baptism, the resurrection) etc.
weak mediocre statements will not be approved!

HTML code is accepted i.e. <br> as line return and <br><br> to double space