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Office of the Bishop
EMERGING FELLOWSHIP OF CHURCHES (EFC) APPLICATION
Applicant Information
Applicant Title & Name
Spouse Title & Name
Applicant Date of Birth
Month
Day
Year
Spouse Date of Birth
Month
Day
Year
Wedding Anniversary Date
Month
Day
Year
Home Address
Home Address
Country/Region
Address
Address - line 2
City
Zip / Postal code
Home Phone Number
Cell Phone Number
Church Office Phone Number
Email Address
Alternate Email Address
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