Medford First Church of the Nazarene

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Name
Address
City
Zip
Date of Birth
Male
Female
Marital Status	Single Married Divorced Widowed
Home Phone
Work Phone
Cell Phone
Occupation
Business Name
Spouse's Name
Date of Birth
Anniversary
Childrens Name/Age/Date of birth
Have you been baptized?	Yes No
Spiritual Maturity	None Seeker Believer Actively Growing
Member of First Church	Yes No
Ministries you are currently involved in
Are you in a Life Group?	Yes No
If yes, which group?
Have you taken the Welcome Class?	Yes No
Spiritual Gifts
Helps Leadership Hospitality Service Administration Discernment Faith Music Tongues Miracles Craftsmanship Healing Giving Mercy Wisdom Knowledge Exhortation Teaching Pastor/Shepherd Apostleship Missionary Prophecy Evangelist Intercession I don't know
Heart/Passion
Children Teens College/Careers Singles Adults Senior Adults Family
Other
Abilities, Skills and Hobbies
Personality
Lion Otter Retriever Beaver I don't know
Life Experiences
Testimony


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