HOME Information Form

At Freedom Impact Ministries, we are happy that you have decided to be a part of our FIM
family. We do this with the help of the Holy Spirit by developing disciples,
transforming lives and expanding the Kingdom of God.

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Date of Birth

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Address

Apartment, suite, etc.

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Spouse's First Name

Spouse's Last Name

Do you have any children?

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Child's First Name

Child's Last Name

Age

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18+ yrs

Child's Birthdate

Child's Grade

Have you accepted Jesus as your Lord and Saviour?

Yes

Not yet but would like to

What year did you accept Jesus?

Have you been baptized?

Yes

I would like to

What year were you baptized?

How did you hear about Freedom Impact Ministries?

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Other:

Skills or talents you would like to use in ministry:

Anything you would like us to know about you?

First Name

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Relationship

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Please share anything else you'd like us to know about your faith journey:

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