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Ministry Interview Questionnaire

Name *
Name
Birth Date *
Birth Date
Address *
Address
Phone *
Phone
Marital Status *
Have you made a commitment to Jesus as your Lord and Savior? *
Have you received the Baptism of the Holy Spirit? *
Have you attended a Cleansing Stream Seminar and Retreat? *
FAMILY BACKGROUND:
Did you grow up with your biological parents? *
Were/are your parents divorced? *
SPIRITUAL BACKGROUND:
Have you or any family members ever been involved in non-Christian practices or beliefs, including the occult? *
CURRENT ISSUE:
BELIEFS ABOUT YOURSELF AND OTHERS:
Please list two preferred 1 hour time slots (Mon-Fri) to schedule your appointment.
By submitting this form, I agree to using a video conference format. *