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PERSONAL INFORMATION
1. Name(Print):*
Last
Given
Middle
2. Email Address:* Tel. No.
3. Present Address
4. Date of Birth:* Age:* Sex:*
5. Place of Birth:* Nationality:*
6. Parent/Guardian:* Address:*
7. Are you?*       Separated?      Engaged to be Married?     
8. If Married, Do you have children? How many? What Ages?
9. If not from Manila area, give name and address and nature of kinship of any relative in Manila.
10. Complete mailing address of your church:*
EDUCATIONAL INFORMATION
11. Educational Attainment:* High school Graduate College Transferee
  Name of School Address Years Attended Year Graduated
Primary*
Elementary*
High School*
College
Vocational/Others

12. Have you ever been refused admission, suspended by, or dismissed from any school?
13. What musical ability or talents do you possess?
14. What skills are you proficient at? (Ex. Computer literate, Steno, etc. State years of experience)
15. What athletics or hobbies are you most interested in?
16. What dialects do you speak with a measure of fluency? What others are you familiar with?
17. Have you received the Lord Jesus Christ into your heart as Savior?  When?

18. Please indicate all Christian ministry experiences that you have had
19. Do you believe God wants you to serve Him full-time?
20. What circumstances or facts led you to this conclusion?
21. How did you first become interested in F.C.B.?
22. To what church do you belong? Give name and address of your Pastor
23. Have you read the entire New Testament?     Old Testament?
24. Are you in accord with our doctrinal statement?

25. Are you willing to sign and abide by the following pledge?

26. Give the names and complete addresses of three (3) reliable references who have known you for some time:

  Name Address
Pastor
Former Teacher
Personal Acquiantance
MEDICAL QUESTIONAIRE
1. State your general health *
2. Have you ever had any operations?* If so, What? When?
3. What childhood diseases have you had, such as chicken pox, mumps, measles, whooping cough, others?*
4.Have you ever had tuberculosis?*         Have any member of your family had (or now have) tuberculosis?*
5. Have you had a chest X-Ray?* When? Where?
6. Do you have any allergies to medicines? Etc?*
7. Do you wear eye-glasses?*         Are you bothered by frequent headaches?*
8. Do you have frequent colds?*       Have you ever contracted a venereal disease?*      Blood Type:*
FINANCIAL QUESTIONAIRE
How will you be supported?*
 
GUIDE QUESTIONS FOR THE TESTIMONY
1. Date of Conversion: Place:

2. Person/s who were instrumental in leading to the Lord:

3. Life before you met Christ

4. Conversion Experience

5. Life after you met Christ

6. Scripture references which are the bases of your faith
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I wholeheartedly subscribe to the above Statement of Faith.