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Petition for Membership - Athenea Theologica
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Email
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PETITIONER INFORMATION
Full Name
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Your answer
Street Address
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Your answer
City
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Your answer
State/Province
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Your answer
Country
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Your answer
Postal Code
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Your answer
Nation of Citizenship
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Your answer
Phone Number
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Your answer
Email
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Your answer
Date of Birth
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YYYY
Sex
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Male
Female
Marital status
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Single
Married
Occupation
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Have you ever been charged, arrested, or convicted of any offense or crime (other than minor traffic violations)?
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Yes
No
If yes, please explain nature of offense(s), dates of offense(s), and judgment(s) rendered.
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ACADEMIC INFORMATION
Most recent school attended
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Your answer
Dates attended
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Last degree earned and graduation date
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Please list the same for any other colleges or universities attended, beginning with the most recent.
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RELIGIOUS AFFILIATION
Do you affirm your belief in a Supreme Being?
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Are you baptized?
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Yes
No
If yes, in what tradition?
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If you identify with a primary faith tradition, what is it?
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FRATERNAL AND ESOTERIC AFFILIATIONS AND STUDIES
Please list any fraternal, initiatic, and religious organizations and Orders with which you have been affiliated, both past and present, including degrees received and dates received.
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Have you ever been denied membership in or been suspended or expelled from any organization?
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Yes
No
If yes, please explain.
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Explain at length why you are petitioning this particular group. Why do you wish to associate with us?
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Tell us about your background and how your interests developed.
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By checking this box, I affirm the truth of these statements.
Required
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I affirm that I believe in God, a Divine Intelligence, or a Supreme Power. I further promise that I will exercise patience, respect, benevolence, understanding, and love towards my brothers and sisters. I further promise to guard and keep private and confidential all materials entrusted to me and labeled as such.
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