SPIRITUAL AUTHOURITY REGISTRATION FORM PASSPORT PHOTOGRAPH BIO-DATA Surname__________________________________ First Name Date Of Birth _____/______/__________ Marital Status: Single _________________________________ Age ______________ Gender: Male Divorced Widow(er) Married Female Home Address ____________________________________________________________________________ Telephone Number(s) _______________________________________________________________________ Occupation/Profession _____________________________________________________________________ Email ____________________________________________________________________________________ MORE INFORMATION Are You A Worker In HOTR? Yes No If Yes, What Department _______________________ If No, State 3 Church departments You Will Like To Serve In? ______________________________________ _________________________________________________________________________________________ Please State Why You Chose To be A Worker/Not To be A Worker _________________________________ _________________________________________________________________________________________ HEAD OF DEPARTMENT’S AFFIRMATION The Above Named Person Has Been A Member Of ______________________ Department and Has Been Serving In The Department for ___________month(s)/year(s). Name of H.O.D. _______________________________________ Signature__________________ _______________________________ Student’s Signature & Date FOR OFFICIAL USE Comments_________________________________________________________________________________ __________________________________________________________________________________________ Please submit the completed form at the INFORMATION CENTER (Sundays) or THE CHURCH OFFICE (Weekdays). Thank you.