| User Name: |
Must be at least 4
characters long
(Use only Alpha & Numeric text, with no
spaces)
Make your username UNIQUE
. |
| 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!
. |
| 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 delcined!
............For more information CLICK HERE
. |
| First Name: |
Example: John
. |
| Last
Name: |
Example: Doe
. |
| Date of
Birth: |
MONTH |
DAY |
YEAR |
|
|
|
Applicants must be 18 years or older.
. |
| Gender: |
Select from the box your gender (Male -or - Female)
. |
| Address: |
Mailing Address
. |
| City: |
Your city
. |
| State /
Province |
|
| Postal Code: |
Enter your Postal or Zip Code
.. |
| Country: |
|
| Email: |
IF you do not supply a valid
email account
where we can contact you regarding your application -
the application may be declined.
. |
| Telephone: |
Enter your Telephone number.
Your phone number is private and will not be displayed to the public.
. |
| Website: |
If you have one..... otherwise leave blank.
. |
| Yahoo Messenger ID: |
If you have a Yahoo Messenger ID Enter it here
. |
| Christian
Religious Affiliation(s): |
Example: Catholic, Baptist, Adventist etc.
. |
Ministry Specialties
Example:
Street Ministry, Music, Chaplian
.
|
Hobbies / Notes
Example:
Music, Golf, Fishing, Hunting, Boating, etc...
. |