Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

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Date of Birth

Sex

Male

Female

Marital Status

Married

Single

Divorced

Occupation

Employer

Please write a brief description of when and how you became a Christian

How are you active in your walk with Christ?

What type of accountability structure do you have in your life? (Small group, mentor, etc.)

Why do you want to serve with BGYouth?

What gifts and talents do you have and how would you like to use them for BGYouth?

What do you enjoy? What are your hobbies and interests?

Please read through the Articles of Faith, found via the link below this form

I agree with the Bethel Grove Bible Church Articles of Faith

I disagree with the Bethel Grove Bible Church Articles of Faith