CONTACT DETAILS
First Name
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Preferred Name
Last Name
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Date of Birth
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Email Address
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Phone Number
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Home Suburb
BACKGROUND
Current Occupation
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Do you currently attend Fire Church on a regular basis?
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Yes
No
Which Fire Church campus do you attend?
Carrum Downs
Melbourne South East
Hawthorn
Gippsland
Do you currently attend a House Fire group?
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YES
NO
Who are your House Fire Leader/s?
For how long have you been a born-again Christian?
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Have you been baptised in water?
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Yes
No
APPLICATION QUESTIONS
Please tell us something about your prayer life e.g. Do you pray, read a Bible, spent time with God?
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Why would you like to be mentored?
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Do you have any immediate concerns which need addressing?
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Submit
