PRE-REGISTRATION PROFILE FOR FITS

Spiritual Enrichment Program for INTERNATIONAL GUESTS

PRE-REGISTRATION PROFILE FOR FITS

This questionnaire is a Pre-Application form for international guest admission to our program. Once this form is reviewed, verified and completed by our representative, a second application packet is required. This form must be returned to the FITS Office [ATTN: Rev. Mary Spero] or scanned and e-mailed to [email protected] or [email protected]

What country do you live in?

Below please give us your contact information as written on Passport:

* Given Name/First :

* Surname/Last :

* Address 1/Present Address (P.O. Box or Street Address for Mailings/Posting Application packet) :

Address 2/Present Address (P.O. Box or Street Address for Mailings/Posting Application packet) :

* City :

* State\Country :

* Zip :

* Phone :

* Email Address :

Please enter your passport number

Do you have a U.S. Visa?

Yes

No

What is your date of birth?

What is your age?

What is your gender?

Male

Female

What is your marital status?

Single

Married

Separated

Divorced

Enter your spouse's full name

Primary Language

Secondary Language

Can you read English?

Yes

No

Can you write English?

Yes

No

Can you Speak English?

Yes

No

What is your nationality?

What is your country of citizenship?

What is your profession?

What is the name of the church you attend?

Church Address

Name of Pastor

(If you are the Pastor please give your Overseers's name and information)

Pastor's Telephone number

Pastor's E-mail Address