Your Name (required)

Your Email (required)

Address (required)

City (required)

State (required)

Zip (required)

Telephone (required)

Marital Status (required)
SingleMarriedDivorcedWidowed

Have you accepted Jesus Christ as your personal savior? (required)
YesNo

Have you been baptized in the Holy Ghost? (required)
YesNo

Are you presently, or have you in the past six months been involved with any challenges such as:
SmokingDrinkingIllegal Drugs

If so, we would like to agree with you in prayer for total deliverance? "He whom the Son (Jesus) set free, is indeed free." (John: 8:36)
YesNo

Area of GWCC Ministry of Helps you have previously served in:

Area of GWCC Ministry of Helps you are currently serving in:

Area of GWCC Ministry of Helps you desire to serve in: (required)

Are you a tither at this local church (GWCC)? (required)
YesNo

Do you know and fully understand the vision of GWCC? (required)
YesNo

PREVIOUS EXPERIENCE:

Former church affiliation:

Please list any previous experience:

PLEASE PROVIDE TWO REFERENCES:

REFERENCE 1:

Reference 1 Name

Reference 1 Email

Reference 1 Address

Reference 1 City

Reference 1 State

Reference 1 Zip

Reference 1 Telephone

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REFERENCE 2:

Reference 2 Name

Reference 2 Email

Reference 2 Address

Reference 2 City

Reference 2 State

Reference 2 Zip

Reference 2 Telephone