PERSONAL INFORMATION
CHURCH INFORMATION

EDUCATION
(for statistical purposes only)
I do hereby pledge to join myself to the Faith Assembly of Christ World Wide and thereby voluntary submit to its rules and structure. I understand that by doing so I do not surrender any of the autonomy that is characteristic of being a Christian church. I further pledge to offer my gifts and talents in building this family of faith and move of God.
Please provide the following information. All information you provide will be kept confidential and will not be shared with any other organization.
Name:
Application Date:
Street Address:
City:
State:
Zip Code:
Country:
Phone Number:
Email Address:
Birthday:
Spouse Name:
Spouse Birthday:
Church Name:
Sr. Pastor Name:
Date Organized:
Church Address:
City:
State:
Zip:
Country
P.O. Box Address:
City:
State:
Country:
Church Phone:
Church Fax:
Email:
No. Of Members:
Would you like your church
advertised on our website:
Do you have a media Ministry?
High School:
City:
State:
Zip Code:
Graduation Date:
College:
City:
State:
Major:
Check One:
Graduation Date: