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CSKIM Membership Form
Please answer the following questions to the best of your knowledge. You are not under obligation to answer any of the questions. Questions marked * are important.
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What is your Name?

*
                   

What is your current address?

                   

Would you consider yourself to be young?

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Your age range
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What is your marital status?

*
                   

What do you do for a living?

*
                   

Are you born again?

*
                   

Would you consider yourself a fervent believer?

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Do you see yourself as someone whose life impacts or can impact others?

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Which Church do you attend?

*
                   

What post do you currently hold in your church?

                   

What is the name of your pastor?

                   

Do you think your pastor can sign as reference for you?

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Which group do you belong to in the church?

*
                   

Do you think your group leader can sign as reference for you?

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Are you in any other group outside your church, which you think we should be aware of?

*
                   

How did you hear about CSKIM?

                   

Do you think you have sufficient information about CSKIM to enable you make decisions?

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Do you want to join the CSKIM team?

*
                   

Do you think you will be available for most of our activities?

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Do you think you can be financially committed to CSKIM?

*
                   

What skills do you think you possess that can be of benefit to CSKIM?

*
                   

Would you consider yourself to work well with other people in a team?

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Would you agree to use your social media account to publish CSKIM materials?

*
                   

Is there anything else you will like to tell us?

                   

Would you say you have answered these questions correctly and truthfully to the best of your knowledge and ability?

*
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