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Church Membership Status (required)

Are you a member, or related to someone of SoCal2nd?

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First Name (required)

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Last Name (required)

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Date of Birth

What is the Day, Month, and Year you were born? (You may leave the year blank if you like!)

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City and State of Birth (required)

Please type the City and State of your natural birth. (i.e. St Louis, MO.)

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Born Again (required)

When did you accept Christ as Lord of your life!

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Interest in the Ministry? (required)

What are your gifts and callings in ministry! Select all that applies.

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