Application of Membership Web Site APPLICANT First Name Middle Name Last Name Maiden Name Address City State Zip Email Date of Birth Place Sex: Female Male Country of Citizenship: Nationality: Home Work Cell Marital Status: Single Married Widow(er) Divorced Remarried If married, give spouse's name: Is your spouse a believer? Name and ages of children: Do you have any physical disability? Yes No If so, describe: FAMILY DATA Father's Name: Mother's Name: Address Address Telephone Telephone Occupation Occupation PERSONAL DATA How long have you been a born-again Christian according to John 3:1-7? Have you received the baptism with the Holy Spirit? How long have you attended BFM Fellowship meetings? Are you free of excessive use or addiction of tobacco? Are you free of excessive use or addiction of alcohol? Are you free of excessive use or addiction of drugs? Are you involved in fornication (sex outside of marriage)? Co-habitation outside of marriage? Are you free of fornication/adultery, homosexual activity or relationships? Do you frequent or perform in nightclubs or club venues that conflict with Christian standards? Level of education: Grade School High School College Evening Institute EMPLOYMENT Are you currently employed? Where? How long? Type of work? COMMITMENT Do you have a teachable spirit? Are you willing to submit to counsel from those in authority? Purpose: State briefly why you wish to become a member of BFM Fellowship? Give names and address of two persons other than relatives for further references: Name Name Address Address3 A. References (on forms to be supplied from a regular attender of BFM Fellowship). B. A resent photograph should be attached Recommended by BFMI director I certify that to the best of my knowledge, all information submitted above is true and correct, and I am willing to submit any additional information if required. Signature: Date: Upon approval of your application, you will be invited to participate in membership classes either in person or online to complete the process.