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.

Join Our Family !

At Freedom Impact Ministries, we are happy that you decided to be a part of our FIM family. This is more than a ministry. It's a testimony to the power of prayer, and the unwavering guidance of the Holy Spirit by developing disciples, transforming lives, and expanding the Kingdom of God.

First Name

Last Name

Date of Birth

Gender

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Functionality of above phone number

Mobile

Nationality

Employment

Marital Status

Spouse's First Name

Spouse's Last Name

Spouse's Birthdate

Spouse's Phone Number

Functionality of above phone number

Mobile

Spouse'sEmail

Spouse's Nationality

Spouse's Employment

Do you have any children?

Yes

Do you have any children under 18 yrs of age?

Yes

Child's First Name

Child's Last Name

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?

Friend/Family

Social Media

Event

Other

Other:

Skills or talents you would like to use in ministry:

Anything you would like us to know about you?

First Name

Last Name

Relationship

Phone Number

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

Today's Date

May this be the beginning of something extraordinary for the glory of God.

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