Applicant's Full Name:
Date of Birth:
Street Address (123 Street)
City
Zip/Postal Code
States and Provinces
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Country
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Home / Cell / Work Phone:
Email Address:
Marital Status
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Spouse's Name
Children (#/AGES)
How long have you been saved?
Do you attend a church?
Name and location of your home church:
Spiritual Influences, Role Models, Mentors:
Leadership / Ministry Experience / Roles:
Social Media Accounts (Facebook, Instagram, Twitter, Telegram, Website, etc.):
Past Criminal Charges:
You agree to monthly meetings?
You agree to receive an offering and to tithe to 420 Fire?
You are ready to launch your HUB within two (2) Months?
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Thank you for filling out the application. Someone from the leadership team will be in contact with you shortly to schedule an interview. Blessings and grace to you!