LIVING FAITH CHURCH WORLDWIDE. Inc
APPLICATION FORM FOR FULL TIME PASTORAL ENLISTMENT
PERSONAL PARTICULARS
SURNAME *
OTHER NAMES *
AGE (LAST BIRTHDAY) *
DATE OF BIRTH *
MM
/
DD
/
YYYY
GENDER *
STATE OF ORIGIN *
HOME TOWN *
L.G.A *
STATE OF RESIDENCE *
RESIDENTIAL ADDRESS (FULL) *
TELEPHONE *
EMAIL *
LANGUAGE(S) SPOKEN *
HIGHEST EDUCATIONAL QUALIFICATION *
DISCIPLINE *
YEAR OBTAINED *
ARE YOU MARRIED? *
IF MARRIED STATE THE NAME OF YOUR SPOUSE
DOES SHE AGREE WITH YOUR ENLISTMENT INTO PASTORAL SERVICE?
Clear selection
CHILD(REN) AND THEIR AGE(S):
DO YOU HAVE A CHILD(REN) OUTSIDE WEDLOCK?
Clear selection
MEDICAL HISTORY
DO YOU HAVE ANY PHYSICAL DISABILITIES OR HEALTH CHALLENGE(S)? *
STATE THE NATURE OF DISABILITIES OR HEALTH CHALLENGE(S):
HAVE YOU AT ANY POINT HAVE MENTAL ILLNESS? *
ARE YOU ON MEDICATION? *
IF YES, STATE PARTICULARS OF DISEASE/ILLNESS FOR WHICH MEDICATION HAS BEEN PRESCRIBED
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