* = Required Information
First Name *
Last Name *
Address
Address 2
City
State
Sex
Telephone
Email *
Ministry/Church Affiliation
What is your position/respnsibilities in the church?
When did you accept Jesus as your Lord and Personal Savior?
Tell us about your personal encounter/conversion experience:
Have you been involved in deliverance ministrations?	YesNo
If Yes, How Long?
If No, please stop here.
Do you believe a born again christian can have demons?	YesNo
If yes, explain backing with biblical references where appropriate:
Do you think that a born again, tongue speaking, active church goer could be a son/daughter of perdition?	YesNo
Explain:
What kinds of spiritual gifts are you endowed with? Explain how these gifts would benefit the ministry:
Are you aware this is a voluntary, non compensatory assignment?	YesNo
Are you ready to sacrifice your time and resources for the sake of Christ in this ministry?	YesNo