First Name

Last Name

Email

Phone

Gender

Female

Male

MAF: Select one that represents your most current state:

I have completed the Road to Discipleship Program (RTDP) & have been interviewed by a Pastor.

I have completed RTDP but not been interviewed by a Pastor

I'm a Mentor

I desire to be a Mentor

I'm a mentee currently being Mentored

I'm new to this process

None of the above

Your Address

Street Address

City

State

Zip code

Country of Origin

Country of Origin

Additional Information

If single and in a relationship, are you two living together?

Select all that apply

Title/Prefix

Select all that apply

Leadership Status

Select all that apply

Which Age Category do you belong?

12 - 17

18 - 24

25 - 30

31 - 40

41 - 45

45 - 50

51 - 60

61+

Christian Commitment

Salvation: Have you asked Jesus to come into your life as Savior and Lord?

Choose here

Holy Ghost Baptism: Are you baptized in the Holy Spirit with the evidence of speaking in tongues?

Choose here

Baptism: Have you been water baptized by immersion since you accepted Christ?

Choose here

Church Attendance: Which Service do you attend?

Select all that apply

When did you first attend the church?

Have you already been interviewed by a Pastor in the Membership Process?

Choose here

Christian Practice

I set aside time each day to be alone with God in prayer, Bible reading and mediation.

Respond here

I speak to God throughout the day

Respond here

I meet weekly with other Christians for worship, Bible Study, Prayer and Fellowship

Respond here

I practice forgiveness to those who hurt or offend me.

Respond here

The "Fruit of the Spirit" (Love,Joy,Peace,Patience,Kindness,Goodness,Faithfulness,Gentleness & Self-Control) is clearly seen in my life.

Respond here

I clearly show to those I live and work with my Christian commitment by my words, attitude and actions.

Respond here

Basic Understanding of Grace

Choose all statement(s) that apply to Salvation.

Choose the best answer

Choose all statement(s) that apply to Righteousness.

Choose the best answer

Choose all statement(s) that apply to Law and Grace.

Choose the best answer

Choose all statement(s) that apply to Generosity/Tithing

Choose the best answer

Thank you for your collaboration.

Someone from the RTDP team

will contact you for next steps.

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