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Last updated on May 27th, 2010
Journey MC Application
First Name
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Last Name
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Present Address
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City
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State
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ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
ORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
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Zip Code
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Email Address
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Main Number
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Secondary Number
Best time to call
Birth Date Month
January
February
March
April
May
June
July
August
September
October
November
December
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Day
1
2
3
4
5
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12
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15
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20
21
22
23
24
25
26
27
28
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30
31
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Year
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Gender
Male
Female
Are you a US citizen?
Yes
No
Birthplace
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Tee Shirt Size
Small
Medium
Large
X-Large
2X-Large
3X-Large
Hoodie Size
Small
Medium
Large
X-Large
2X-Large
3X-Large
Ring Size (Ring Finger)
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References:
Reference 1
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Relationship:
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Phone:
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Reference 2
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Relationship:
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Phone:
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Pastoral Reference:
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Relationship:
Phone:
Educational History
Highschool
Dates Attended
Did you graduate?
Yes
No
College
Dates Attended
Did you Graduate?
Yes
No
Course of Study
Other Education
Family Information
Name of Father or Guardian
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Address
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City
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State
select one
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
ORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
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Zip Code
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Phone Number
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Occupation
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Has he accepted Christ?
Yes
No
Church Attending (If Applicable)
Name of Mother or Guardian
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Address
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City
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State
select one
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
ORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
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Zip Code
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Phone Number
Required info
Occupation
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Has she accepted Christ?
Yes
No
Church Attending (If Applicable)
Church History
Name of Church
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Denomination
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Address
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City
Required info
State
select one
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
ORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
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Zip Code
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Phone Number
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How long have you attended?
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Do you attend regularly?
Yes
No
Are you a member?
Yes
No
Senior Pastor
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Youth Pastor
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Personal History
When did you accept Christ?
Required info
Have you been baptized in water?
Yes
No
Have you had an Acts 2:4 experience? (not required for acceptance)
Yes
No
Personal Sketch: Masters Commission desires to help its students in every way possable. To do this, it's important for us to have some background information, including:
Explain A description of your Christian experience (Past and Present)
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Describe some experiences which have significantly influenced your life.
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Make A statement on why you desire to attend Journey Masters Commission.
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