Email Address (Shepherd)

Type of Class *OneTwo

PrefixMr.Mrs.Ms.Mx.MissDr.Prof.

First Name *

Middle Name

Last Name *

Primary Telephone (WhatsApp)

Secondary Telephone

Email Address

Nationality (Eg. Ghanaian)

Date of Birth

Residential Address / GPS

Nearest Landmark

Emergency Contact

Full Name

Relation

Telephone

Church Information

Year of Joining Church

DepartmentSelectMediaMusicSanctuaryHospitalityProtocolInternational DeskWelfareUsheringTheater ArtsChildren & Youth MinistryFacility ManagementWatchersSales & PublishingNone

Are You a Tithe PayerSelectYesNo

Have you Baptised?SelectYesNo

Family Relation Information

Family RelationSelectSpouseSiblingChildIn-LawGuardianNext of KinParentsNone

Name of Family Relation

Work and Educational Information

Work IndustrySelectAccommodation & Food ServicesArt & EntertainmentCorporate Administration & ManagementEducational ServiceEngineering, Scientific & Technical ServiceFinance & InsuranceFood, Agriculture & ForestryGovernmentHealth Care & Social AssistanceInformation & Communication TechnologyJanitorial, Waste Management & Remediation ServicesManufacturing & ProcessingMining, Quarrying, Oil & Gas ExtractionPublic AdministrationPublic Utility ServicesReal Estate, Rental & LeasingReligionRetail TradeSports and RecreationSecurity & Armed ForcesTransportation & WarehousingWholesale TradeOtherNone

Occupation

Name of Institution

Educational LevelSelectBasicO’LevelA’LevelSecondary / Technical / VocationalPost Secondary Non-TertiaryDiploma or EquivalentBachelor or EquivalentMaster or EquivalentDoctoral or Equivalent

Certification Obtained

Chapel *January – Faith ChapelFebruary – Love ChapelMarch – Joy ChapelApril – Peace ChapelMay – Favour ChapelJune – Christ ChapelJuly – Power ChapelAugust – Fathers ChapelSeptember – Grace ChapelOctober – Holy Ghost ChapelNovember – Dominion ChapelDecember – Supernatural Chapel

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