Name
*
First Name
Last Name
Birthday
*
MM
DD
YYYY
Email Address
*
Phone Number
*
Address
*
Employer
*
Employer Address/or Phone Number
*
Position At Work
*
Years At Current Job
*
Are you a member of Shelby Bible Church?
*
Yes
No
How long have you attended Shelby Bible Church
*
Emergency Contact
*
Phone Number
*
Marital Status
*
Single
Married
Divorced
Widowed
If married, spouse's name
If you have children, what are their names/ages
Education
*
Please check all the boxes that apply
Still in High School
High School Degree
Bachelor's Degree
Master's Degree
Doctorate Degree
College Degree
Other licenses/professional training
Ministry Experience (1)
*
Please share with us various ministry experiences you have had, the name of Church or organization, how long you served, and contact name and number from ministry leader.
Ministry Exerience (2)
Please share with us various ministry experiences you have had, the name of Church or organization, how long you served, and contact name and number from ministry leader.
Ministry Experience (3)
Please share with us various ministry experiences you have had, the name of Church or organization, how long you served, and contact name and number from ministry leader.
Your Story
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When and how did you receive Jesus Christ as Lord? Please share what enables you to have assurance and confidence?
Your Walk
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How did you seek to grow in your relationship with Christ? How are you currently investing in your relationship with the Lord?
Your Heart
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Why do you desire to be a volunteer for Fuse kids or students?
Were you ever a victim of molestation or sexual abuse as a minor? (You may refuse to answer this question if you prefer and instead share in person)
Yes
No
Have you ever committed a criminal act or offense?
*
Yes
No