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Member Profile Form

T-Shirt Size *

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If student, please provide the following: School Name, City, Major

Are you currently a student? *

Yes

Professional License/Certificates (if any)

Highest Level of Education *

Less than high school Some college, no degree Bachelor's degree Doctoral/Professional degree

Occupation *

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Alternate Phone

Primary Phone *

Home Address (if different from mailing address)

Mailing Address *

Gender *

Male

Female

To become a member of Ministry of Encouragement Church, please complete the Member Profile Form to receive more information.

Graduation Date

Date Joined *

Date of Birth *

Last Name, First Name, Middle Initial *

Marital Status

Single

Married

Click here to view detailed descriptions of ministries to be involved in.